Organization Active NPI

Vital Energy Chiropractic, Inc.

  • Chiropractor
  • Helena, MT
National Provider Identifier
1902050453
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1012 Issued in MT
Legal business name
VITAL ENERGY CHIROPRACTIC, INC.
Practice address
1300 Aspen St
Suite a
Helena, MT 59601-0905
Phone
(406) 443-8060
Fax
(406) 449-7818
NPI assigned
Nov 11, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Michael Duane McClain, D.C.NPI 1104835917
Title
Doctor/Owner
Phone
(406) 443-8060

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1012 MT Primary

Addresses

Primary practice location

1300 Aspen St
Suite a
Helena, MT 59601-0905

Mailing address

1300 Aspen St
Suite a
Helena, MT 59601-0905
Phone (406) 443-8060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081113000139 MT Part B Supplier - Clinic/Group Practice 0244399731 Receives reassigned benefits from 2 practitioners
Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Locations

1300 Aspen St
Ste A
Helena, MT 59601
Phone (406) 443-8060

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": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1902050453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ASPEN ST",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596010905",
            "telephone_number": "406-443-8060",
            "fax_number": "406-449-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ASPEN ST",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596010905",
            "telephone_number": "406-443-8060",
            "fax_number": "406-449-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ENERGY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "406-443-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.