NPIMap

Organization Active NPI

Anaconda Chiropractic LLC

  • Clinic/Center
  • Anaconda, MT
National Provider Identifier
1801404116
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ANACONDA CHIROPRACTIC LLC
Practice address
610 E Park Ave
Anaconda, MT 59711-2469
Phone
(406) 560-8110
NPI assigned
Jul 22, 2020
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Rebekah Liberty, D.C.NPI 1265491989
Title
Owner
Phone
(803) 322-3156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

610 E Park Ave
Anaconda, MT 59711-2469

Mailing address

610 E Park Ave
Anaconda, MT 59711-2469
Phone (406) 560-8110

National Provider Directory

National Provider Directory

Locations

610 E Park Ave
Anaconda, MT 59711
Phone (406) 560-8110

Practitioners & affiliated clinicians

Practitioners 1

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1801404116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112469",
            "telephone_number": "406-560-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112469",
            "telephone_number": "406-560-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANACONDA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "LIBERTY",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-322-3156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.