Healthsource of Gillette Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

703 Issued in WY

Legal business name

HEALTHSOURCE OF GILLETTE INC.

Practice address

110 E Lakeway Rd
Ste 1000
Gillette, WY 82718-6365

Phone

(307) 670-9426

Fax

(307) 257-2569

NPI assigned

Sep 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Arnio, D.C.NPI 1033341144

Title

Owner

Phone

(307) 670-9426

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew David Arnio, D.C.

  • Chiropractor
  • Gillette, WY
  • NPI 1033341144
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1902155146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E LAKEWAY RD",
            "address_2": "STE 1000",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186365",
            "telephone_number": "307-670-9426",
            "fax_number": "307-257-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E LAKEWAY RD",
            "address_2": "STE 1000",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186365",
            "telephone_number": "307-670-9426",
            "fax_number": "307-257-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF GILLETTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "ARNIO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-670-9426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "703",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WY",
            "license": "703",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "WY",
            "license": "703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles E Haugen, PT
• Eden Esprit Hauptman, RN
• Amy Elizabeth Hawk, APRN
• Jonathan Hayden, M. D.
• Linsee Haynes, BA
• Hearing Solutions LLC
• Marie Heath, MS, LPC
• Tristin A Hecht, H.I.S.
• John Ray Hedding
• Candice Heemeyer

• Chiropractor in Gillette, WY
• Providers in Gillette, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.