Kirsten Kim Maycock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

586 Issued in WY

Practice address

207 S Osborne Ave
Gillette, WY 82716-3937

Phone

(307) 682-4000

Fax

(307) 686-0768

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in WY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Chiropractic Wellness Center, P.C.

  • Health Service Clinic/Center
  • Gillette, WY
  • NPI 1659566974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1801977400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S OSBORNE AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163937",
            "telephone_number": "307-682-4000",
            "fax_number": "307-686-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S OSBORNE AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163937",
            "telephone_number": "307-682-4000",
            "fax_number": "307-686-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYCOCK",
        "first_name": "KIRSTEN",
        "middle_name": "KIM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jean Martinson, PT
• Tisha Raneil Martz, RN, BSN
• Britney Matzick
• Morgan Taylor Maxwell
• Joseph C Maycock, O.D.
• Paul Mayer, FNP
• Kayla McAmis
• Tamera Kay McArthur, MRC, CRC, PPC
• McCarty Family Medicine
• Alexandra McClenahan, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.