Active NPI
Advanced Orthopedic & Chiropractic L.L.C.
- Chiropractor
- Gillette, WY
National Provider Identifier
1801459581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ADVANCED ORTHOPEDIC & CHIROPRACTIC L.L.C.
- Practice address
- 201 W Lakeway Rd Ste 211
Gillette, WY 82718-6341 - Phone
- (307) 682-7885
- Fax
- (307) 682-2153
- NPI assigned
- Apr 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kari Ann Bennett, D.C.
- Title
- Owner
- Phone
- (307) 682-7885
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
201 W Lakeway Rd Ste 211
Gillette, WY 82718-6341
Mailing address
201 W Lakeway Rd Ste 211
Gillette, WY 82718-6341
Phone (307) 682-7885
Other names 1
- A.O. Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190702001856 | WY | Part B Supplier - Clinic/Group Practice | 6709110398 |
Receives reassigned benefits from 1 practitioner Practice locations: Gillette, WY |
National Provider Directory
National Provider DirectoryLocations
201 W Lakeway Rd
Ste 211
Gillette, WY 82718
Phone (307) 682-7885
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1801459581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W LAKEWAY RD STE 211",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186341",
"telephone_number": "307-682-7885",
"fax_number": "307-682-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LAKEWAY RD STE 211",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186341",
"telephone_number": "307-682-7885",
"fax_number": "307-682-2153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED ORTHOPEDIC & CHIROPRACTIC L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-17",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "KARI",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-682-7885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A.O. Chiropractic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "A.O. Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.