Justin Merryman

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

763 Issued in WY

Practice address

201 W Lakeway Rd
Suite 211
Gillette, WY 82718-6361

Phone

(307) 217-2323

NPI assigned

Nov 7, 2016

Last updated

Nov 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merryman Spinal and Sports LLC

  • Rehabilitation Chiropractor
  • Gillette, WY
  • NPI 1902358799
  NPD (past) Authorized official

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1790227866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 WAGONHAMMER LN",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185327",
            "telephone_number": "307-299-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD",
            "address_2": "SUITE 211",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186361",
            "telephone_number": "307-217-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRYMAN",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WY",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mefford LLC
• Angelena Maria Mefford, LCSW
• Amy Michelle Mendoza
• Kaydie Merrill, MS, MED
• Merryman Spinal and Sports LLC
• Melissa Jean Metcalf
• Meyer and Dana Orthodontics Gillette, PLLC (Meyer and Dana Orthodontics Gillette)
• Michael K. Hughes, OD, LLC
• Melisa J Miller, M.S., LPC-1605
• Nikole Miller

• Rehabilitation Chiropractor in Gillette, WY
• Providers in Gillette, WY by specialty
• Rehabilitation Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.