Active NPI
Activated Life Chiropractic and Wellness PLLC
Doing business as Activated Life Chiropractic and Wellness
- Health Service Clinic/Center
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- ACTIVATED LIFE CHIROPRACTIC AND WELLNESS PLLC
- Doing business as
- Activated Life Chiropractic and Wellness
- Practice address
- 906 7TH St S
Great Falls, MT 59405-4026 - Phone
- (406) 770-3800
- Fax
- (406) 770-3802
- NPI assigned
- May 8, 2019
- Last updated
- May 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Curtis Stilson, DC
- Title
- Owner
- Phone
- (406) 770-3800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
906 7TH St S
Great Falls, MT 59405-4026
Mailing address
906 7TH St S
Great Falls, MT 59405-4026
Phone (406) 770-3800
Other names 1
- Activated Life Chiropractic and Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1301 12th Ave S
Ste 203
Great Falls, MT 59405
Phone (406) 770-3800
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Great Falls, MT
- NPI 1376007187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651449600000",
"number": "1992360614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 7TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054026",
"telephone_number": "406-770-3800",
"fax_number": "406-770-3802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 7TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054026",
"telephone_number": "406-770-3800",
"fax_number": "406-770-3802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVATED LIFE CHIROPRACTIC AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-08",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A",
"authorized_official_last_name": "STILSON",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "CURTIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-770-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Activated Life Chiropractic and Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Activated Life Chiropractic and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.