Individual provider Active NPI

Steven Travis Blair, D.C.

  • Chiropractor
  • Bozeman, MT
National Provider Identifier
1841693249
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-3410 Issued in MT
Practice address
2419 W. Main St. Ste 4
Suite B
Bozeman, MT 59718-3813
Phone
(406) 577-2742
Fax
(406) 577-2749
NPI assigned
Sep 30, 2014
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-3410 MT Primary

Addresses

Primary practice location

2419 W. Main St. Ste 4
Suite B
Bozeman, MT 59718-3813

Mailing address

2419 W. Main St. Ste 4
Suite B
Bozeman, MT 59718-3813
Phone (406) 577-2742

Other practice location 1

1351 Stoneridge Dr
Suite B
Bozeman, MT 59718-7079
Phone (406) 586-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428002480 MT Practitioner - Chiropractic 0749509529 Reassigns benefits to 1 organization
Practice locations: Bozeman, MT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2419 W Main St
Suite 4
Bozeman, MT 59718-3813
Phone (406) 577-2742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI-CHI-LIC-3410MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gallatin Valley Chiropractic, LLC Chiropractor CurrentSince Jan 13, 2015 Accepting new patients

Locations

626 S Ferguson Ave
Ste 5
Bozeman, MT 59718
Phone (406) 551-2177

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1841693249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 W. MAIN ST. STE 4",
            "address_2": "SUITE B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183813",
            "telephone_number": "406-577-2742",
            "fax_number": "406-577-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 W. MAIN ST. STE 4",
            "address_2": "SUITE B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183813",
            "telephone_number": "406-577-2742",
            "fax_number": "406-577-2749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 Stoneridge Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597187079",
            "country_code": "US",
            "telephone_number": "406-586-5252",
            "fax_number": "406-586-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "STEVEN",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-3410",
            "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 Jun 15, 2021; 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.