Individual provider Active NPI

Gary Joseph Litle, D.C.

  • Chiropractor
  • Bozeman, MT
National Provider Identifier
1821289240
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
567 Issued in MT
Practice address
2245 W Koch St
Suite a
Bozeman, MT 59718-4010
Phone
(406) 587-0711
Fax
(406) 587-6074
NPI assigned
Aug 9, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 567 MT Primary

Addresses

Primary practice location

2245 W Koch St
Suite a
Bozeman, MT 59718-4010

Mailing address

2245 W Koch St
Suite a
Bozeman, MT 59718-4010
Phone (406) 587-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
567MTMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1821289240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 W KOCH ST",
            "address_2": "SUITE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184010",
            "telephone_number": "406-587-0711",
            "fax_number": "406-587-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 W KOCH ST",
            "address_2": "SUITE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184010",
            "telephone_number": "406-587-0711",
            "fax_number": "406-587-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITLE",
        "first_name": "GARY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.