Individual provider Active NPI

Ryan M Wigness, D.C.

  • Sports Physician Chiropractor
  • Whitefish, MT
National Provider Identifier
1932255593
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1048 Issued in MT
Practice address
5938 US Highway 93 S
Whitefish, MT 59937-8415
Phone
(406) 862-2121
NPI assigned
Jan 26, 2007
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1048 MT
Sports Physician Chiropractor 111NS0005X 1048 MT Primary

Addresses

Primary practice location

5938 US Highway 93 S
Whitefish, MT 59937-8415

Mailing address

PO Box 5114
Whitefish, MT 59937-5114
Phone (406) 862-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127001177 MT Practitioner - Chiropractic 6002719283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Whitefish Chiropractic Center P CGroup PAC ID 8426940255, 3 clinicians

Practice addresses (Care Compare)

144 2ND St W
Suite 1
Whitefish, MT 59937-3074
Phone (406) 862-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1048MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whitefish Chiropractic Center PC CurrentSince Jun 1, 2003 Accepting new patients
Flip Spinal Care PC Chiropractor Past Accepting new patients

Locations

17 E Oregon St
Kalispell, MT 59901
Phone (406) 755-6341

144 E 2nd St
#W1
Whitefish, MT 59937
Phone (406) 862-2121

5938 US Highway 93 S
Whitefish, MT 59937
Phone (406) 862-2121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1932255593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5114",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599375114",
            "telephone_number": "406-862-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378415",
            "telephone_number": "406-862-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGNESS",
        "first_name": "RYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1048",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MT",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.