Organization Active NPI

Atlas Chiropractic LLC

  • Chiropractor
  • Sheridan, WY
National Provider Identifier
1770818148
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
728 Issued in WY
Legal business name
ATLAS CHIROPRACTIC LLC
Practice address
24 E Grinnell PLZ
Sheridan, WY 82801-3936
Phone
(307) 672-6000
Fax
(307) 673-0970
NPI assigned
Oct 2, 2009
Last updated
Jul 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Colin Hardy, D.C.NPI 1811220064
Title
Doctor of Chiropractic
Phone
(307) 672-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 695 WY
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 728 WY Primary

Addresses

Primary practice location

24 E Grinnell PLZ
Sheridan, WY 82801-3936

Mailing address

24 E Grinnell PLZ
Sheridan, WY 82801-3936
Phone (307) 672-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091026000196 WY Part B Supplier - Clinic/Group Practice 1759428600 Receives reassigned benefits from 1 practitioner
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Locations

41 E Burkitt St
Sheridan, WY 82801
Phone (307) 760-2546

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1770818148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E GRINNELL PLZ",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013936",
            "telephone_number": "307-672-6000",
            "fax_number": "307-673-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E GRINNELL PLZ",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013936",
            "telephone_number": "307-672-6000",
            "fax_number": "307-673-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "307-672-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "695",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.