Organization Active NPI

Miles City Sport & Spine PC

  • Chiropractor
  • Miles City, MT
National Provider Identifier
1881087492
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-3441 Issued in MT
Legal business name
MILES CITY SPORT & SPINE PC
Practice address
2717 Main St
Miles City, MT 59301-3902
Phone
(406) 234-6278
Fax
(406) 234-6270
NPI assigned
Mar 7, 2015
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Dr. Fred Scheid III, DCNPI 1669860268
Title
Owner
Phone
(406) 234-6278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-3441 MT Primary

Addresses

Primary practice location

2717 Main St
Miles City, MT 59301-3902

Mailing address

PO Box 1225
Miles City, MT 59301-1225
Phone (406) 234-6278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150617001343 MT Part B Supplier - Clinic/Group Practice 3274844261 Receives reassigned benefits from 1 practitioner
Practice locations: Miles City, MT

National Provider Directory

National Provider Directory

Locations

2705 Main St
Miles City, MT 59301
Phone (406) 234-6278

2717 Main St
Miles City, MT 59301
Phone (406) 234-2807

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1881087492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1225",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593011225",
            "telephone_number": "406-234-6278",
            "fax_number": "406-234-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MAIN ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013902",
            "telephone_number": "406-234-6278",
            "fax_number": "406-234-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES CITY SPORT & SPINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-07",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "SCHEID",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-234-6278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.