NPIMap

Individual provider Active NPI

Wanda M Robinson, DC

  • Chiropractor
  • Kalispell, MT
National Provider Identifier
1821192188
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1011 Issued in MT
Practice address
15 Meridian CT Ste 1
Kalispell, MT 59901-4245
Phone
(406) 607-6105
Fax
(406) 607-6106
NPI assigned
Sep 8, 2006
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1011 MT Primary

Addresses

Primary practice location

15 Meridian CT Ste 1
Kalispell, MT 59901-4245

Mailing address

15 Meridian CT Ste 1
Kalispell, MT 59901-4245
Phone (406) 607-6105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007001431 MT Practitioner - Chiropractic 8527250562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Meridian CT
Suite 1
Kalispell, MT 59901-4245
Phone (406) 607-6105

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1011MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robinson Chiropractic LLC Chiropractor CurrentSince Oct 28, 2019 Accepting new patients
Pisk Chiropractic & Physiotherapy PC Chiropractor CurrentSince Jan 1, 2003 Accepting new patients
Two Sparrows Family Chiropractic & Wellness LLC Chiropractor CurrentSince Dec 29, 2019 Accepting new patients

Locations

15 Meridian Ct
Kalispell, MT 59901

178 2nd Avenue East N
Kalispell, MT 59901
Phone (406) 257-5011

15 Meridian Ct
Ste 1
Kalispell, MT 59901
Phone (406) 607-6105

559 Edgewood Pl
Whitefish, MT 59937
Phone (406) 730-8569

Organizations & group practices 3

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1821192188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MERIDIAN CT STE 1",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014245",
            "telephone_number": "406-607-6105",
            "fax_number": "406-607-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MERIDIAN CT STE 1",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014245",
            "telephone_number": "406-607-6105",
            "fax_number": "406-607-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "WANDA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.

Verify at the official NPI Registry.