Organization Active NPI

Wholistic Chiropractic PC

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1962483610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
577CHI Issued in MT
Legal business name
WHOLISTIC CHIROPRACTIC PC
Practice address
436 S 3Rd St W
Missoula, MT 59801-2520
Phone
(406) 728-7777
Fax
(406) 549-8352
NPI assigned
Nov 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cherie A Clos
Title
Office Manager
Phone
(406) 728-7777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 577CHI MT Primary
Chiropractor 111N00000X 588CHI MT

Addresses

Primary practice location

436 S 3Rd St W
Missoula, MT 59801-2520

Mailing address

436 S 3Rd St W
Missoula, MT 59801-2520
Phone (406) 728-7777

National Provider Directory

National Provider Directory

Locations

255 W Front St
Ste B
Missoula, MT 59802
Phone (406) 543-8373

Practitioners & affiliated clinicians

Practitioners 3

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962483610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012520",
            "telephone_number": "406-728-7777",
            "fax_number": "406-549-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012520",
            "telephone_number": "406-728-7777",
            "fax_number": "406-549-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOS",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-728-7777"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "577CHI",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "588CHI",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.