Dr. Pete Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1207 Issued in MT

Legal business name

DR. PETE CHIROPRACTIC PC

Practice address

1831 S 3Rd St W
Missoula, MT 59801-2243

Phone

(406) 549-7171

Fax

(406) 549-6868

NPI assigned

Apr 12, 2012

Last updated

May 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Hicks, D.C.NPI 1336309731

Title

Owner

Phone

(406) 549-7171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Lorne Conrad Hicks, D.C.

  • Chiropractor
  • Missoula, MT
  • NPI 1336309731
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1861759011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012243",
            "telephone_number": "406-549-7171",
            "fax_number": "406-549-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012243",
            "telephone_number": "406-549-7171",
            "fax_number": "406-549-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PETE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-549-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Beverly L. Braak, P.C.
• Dr. Christian Zal-Herwitz, PLLC
• Dr. Gregory J. Chapman, PC (Montana Back & Rehabilitation Inst.)
• Dr. Kate Baker, DPT LLC
• Dr. Mage R. Lee (Marquardt Chiropractic Clinic)
• Dionne Drakulich, M.D.
• John Benjamin Draper, M.D.
• Heidi J Drescher, P.A.
• Kimberly F Driscoll, LMT
• Megan Lynne Driskill, L.C.S.W

• Chiropractor in Missoula, MT
• Providers in Missoula, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.