Active NPI
Shane Albert Cutting, D.C.
- Chiropractor
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1047 CHI
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000040923 | Other | MT | BLUE CROSS BLUE SHIELD |
| 0166270 | Medicaid | MT | |
| 0166260 | Medicaid | MT | |
| 807199700 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1047 CHI | MT | MD | Chiropractor |
| 1047 | MT | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waters Edge Chiropractic and Wellness Center Inc | Chiropractor | Current | Accepting new patients |
| W Chiropractic Incorporated | Chiropractor | Past | Accepting new patients |
| Rockpoint Chiropractic Services Inc. | Chiropractor | Past | 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.
-
- Chiropractor
- Missoula, MT
- NPI 1164467486
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dba Rockpoint Upper Cervical Center
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- Missoula, MT
- NPI 1376823278
-
- Chiropractor
- Missoula, MT
- NPI 1942563093
-
- Chiropractor
- Missoula, MT
- NPI 1346399896
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.