The Chiropractor

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHI-CHI-LIC-3960 Issued in MT

Legal business name

THE CHIROPRACTOR

Practice address

2690 Rest Haven Dr
Whitefish, MT 59937-8621

Phone

(208) 941-1779

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Timothy Dahl Dudley, DC

Title

Owner

Phone

(208) 941-1779

Specialties & licenses 1

Addresses

Other names 1

• Dudley Chiropractic Whitefish Doing business as

Locations

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1871965657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4937",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599374937",
            "telephone_number": "208-941-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 REST HAVEN DR",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378621",
            "telephone_number": "208-941-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DAHL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-941-1779",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-3960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dudley Chiropractic Whitefish",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.