Individual provider Active NPI

Shane Albert Cutting, D.C.

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1871546556
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1047 CHI Issued in MT
Practice address
2419 Mullan Rd
Suite a
Missoula, MT 59808-1827
Phone
(406) 543-1955
Fax
(406) 543-1506
NPI assigned
May 17, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1047 CHI MT Primary

Addresses

Primary practice location

2419 Mullan Rd
Suite a
Missoula, MT 59808-1827

Mailing address

2419 Mullan Rd
Suite a
Missoula, MT 59808-1827
Phone (406) 543-1955

Other identifiers 4

IdentifierTypeStateIssuer
000040923OtherMTBLUE CROSS BLUE SHIELD
0166270MedicaidMT
0166260MedicaidMT
807199700MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040501000460 MT Practitioner - Chiropractic 6901894708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1831 S 3Rd St W
Suite 201
Missoula, MT 59801-2454
Phone (406) 543-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1047 CHIMTMDChiropractor
1047MTMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waters Edge Chiropractic and Wellness Center Inc Chiropractor CurrentSince Nov 29, 2005 Accepting new patients
W Chiropractic Incorporated Chiropractor PastSince Apr 1, 2002 Accepting new patients
Rockpoint Chiropractic Services Inc. Chiropractor PastSince Jan 1, 2006 Accepting new patients
Tall Pines Chiropractic, P.C. Chiropractor Past Accepting new patients

Locations

1526 S Reserve St
Missoula, MT 59801
Phone (406) 543-1955

1831 S 3rd St W
Missoula, MT 59801
Phone (406) 541-6600

1831 S 3rd St W
Ste 201
Missoula, MT 59801
Phone (406) 543-1955

2419 Mullan Rd
Ste A
Missoula, MT 59808
Phone (406) 541-1400

Organizations & group practices 4

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871546556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 MULLAN RD",
            "address_2": "SUITE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081827",
            "telephone_number": "406-543-1955",
            "fax_number": "406-543-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 MULLAN RD",
            "address_2": "SUITE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081827",
            "telephone_number": "406-543-1955",
            "fax_number": "406-543-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTING",
        "first_name": "SHANE",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1047 CHI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000040923",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166270",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166260",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807199700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.