Active NPI
Dillon Back & Neck Clinic PC
- Chiropractor
- Dillon, MT
National Provider Identifier
1891811733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 903
- Legal business name
- DILLON BACK & NECK CLINIC PC
- Practice address
- 330 S Idaho St
Dillon, MT 59725-2532 - Phone
- (406) 683-9600
- NPI assigned
- Mar 22, 2007
- Last updated
- Mar 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew James Belice, D.C.
- Title
- Owner Doctor
- Phone
- (406) 683-9600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 903 | MT | Primary |
Addresses
Primary practice location
330 S Idaho St
Dillon, MT 59725-2532
Mailing address
330 S Idaho St
Dillon, MT 59725-2532
Phone (406) 683-9600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350054899 | Other | MT | RAILROAD MEDICARE |
| 0162945 | Medicaid | MT | |
| 0162928 | Medicaid | MT | |
| 41921 | Other | MT | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Chiropractor
- Dillon, MT
- NPI 1538202882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332460800000",
"number": "1891811733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S IDAHO ST",
"city": "DILLON",
"state": "MT",
"postal_code": "597252532",
"telephone_number": "406-683-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S IDAHO ST",
"city": "DILLON",
"state": "MT",
"postal_code": "597252532",
"telephone_number": "406-683-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DILLON BACK & NECK CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2012-03-23",
"status": "A",
"authorized_official_last_name": "BELICE",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER DOCTOR",
"authorized_official_telephone_number": "406-683-9600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350054899",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0162945",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0162928",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "41921",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dillon, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.