Active NPI
Todd Adam Hildebrand, D.C.
- Chiropractor
- Gillette, WY
National Provider Identifier
1811906845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 500
- Practice address
- 1001 4J Road
Gillette, WY 82716-0000 - Phone
- (307) 686-2327
- Fax
- (307) 687-1106
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 500 | WY | Primary |
Addresses
Primary practice location
1001 4J Road
Gillette, WY 82716-0000
Mailing address
1001 S 4J Road
Gillette, WY 82716
Phone (307) 686-2327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091216000385 | WY | Practitioner - Chiropractic | 6103966544 | Practice locations: Gillette, WY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1001 S 4J Rd
Gillette, WY 82716-4136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811906845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S 4J ROAD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "82716",
"telephone_number": "307-686-2327",
"fax_number": "307-687-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 4J ROAD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827160000",
"telephone_number": "307-686-2327",
"fax_number": "307-687-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "TODD",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.