NPIMap

Organization Active NPI

Merryman Spinal and Sports LLC

  • Rehabilitation Chiropractor
  • Gillette, WY
National Provider Identifier
1902358799
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
763 Issued in WY
Legal business name
MERRYMAN SPINAL AND SPORTS LLC
Practice address
201 W Lakeway Rd
Suite. 211
Gillette, WY 82718-6361
Phone
(307) 756-2991
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Dr. Justin Steffen Merryman, D.C.NPI 1790227866
Title
Chiropractor
Phone
(307) 299-2941

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 763 WY Primary

Addresses

Primary practice location

201 W Lakeway Rd
Suite. 211
Gillette, WY 82718-6361

Mailing address

2008 Wagonhammer LN
Gillette, WY 82718-5327
Phone (307) 756-2991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1902358799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 WAGONHAMMER LN",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185327",
            "telephone_number": "307-756-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD",
            "address_2": "SUITE. 211",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186361",
            "telephone_number": "307-756-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRYMAN SPINAL AND SPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "MERRYMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "STEFFEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "307-299-2941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WY",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.