Organization Active NPI

Cowboy Spine & Performance Center

  • Chiropractor
  • Cheyenne, WY
National Provider Identifier
1811729908
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COWBOY SPINE & PERFORMANCE CENTER
Practice address
520 Randall Ave
Cheyenne, WY 82001-2745
Phone
(307) 630-9529
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Dr. Gabriel Deal, DC
Title
Owner
Phone
(307) 630-9529

Specialties & licenses 1

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

Addresses

Primary practice location

520 Randall Ave
Cheyenne, WY 82001-2745

Mailing address

1723 Steele St
Laramie, WY 82070-4748

National Provider Directory

National Provider Directory

Locations

520 Randall Ave
Cheyenne, WY 82001
Phone (307) 433-8853

1616 E Pershing Blvd
Ste 120
Cheyenne, WY 82001

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1811729908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 STEELE ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RANDALL AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012745",
            "telephone_number": "307-630-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWBOY SPINE & PERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "DEAL",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-630-9529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.