JERALD DALE WILEY (NPI# 1528123130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528123130 |
| Entity Type | Individual |
| Full Name | JERALD DALE WILEY |
| Credential | DC |
| Practice Address |
1520 3rd St Nw Suite E Great Falls MT 59404 |
| Mailing Address |
Po Box 363 Vaughn MT 59487 |
| Practice Telephone | 4067275757 |
| Practice Fax Number | 4067277006 |
| Mailing Telephone | 4067275757 |
| Mailing Fax Number | 4067277006 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 786 | MT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 00040903 | 01 |
| Street Address |
1520 3RD ST NW SUITE E |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047393 | The Adjustment, Pllc | Chiropractor | 10130 Colvin Run Rd Ste C, Great Falls, VA 22066-1839 | 2020-09-15 |
| 1285276758 | Steven Douglas Herting | Chiropractor | 2 5th St N Ste 206, Great Falls, MT 59401-4010 | 2019-10-16 |
| 1376007187 | Justin Curtis Stilson | Chiropractor | 1301 12th Ave S Ste 203, Great Falls, MT 59405-4600 | 2019-01-25 |
| 1184000655 | Advanced Chiropractic Center | Chiropractor | 1301 12th Ave S Ste 104, Great Falls, MT 59405-4600 | 2015-08-06 |
| 1760736029 | Kevin James Jimmerson | Chiropractor | 222 15th St S Ste C, Great Falls, MT 59405-2459 | 2012-11-07 |
| 1114203221 | Jimmerson Chiropractic Clinic, Inc. | Chiropractor | 307 9th St S, Great Falls, MT 59405-2105 | 2011-11-02 |
| 1073791547 | Trevor Howard Crane | Chiropractor | 1400 16th Ave Sw, Great Falls, MT 59404-3134 | 2008-02-06 |
| 1043496755 | Back and Neck Clinic of Great Falls, P.C. | Chiropractor | 205 9th Ave S, Suite 105, Great Falls, MT 59405-4071 | 2008-01-11 |
| 1508049537 | Mountain View Chiropractic PC | Chiropractor | 1520 3rd Street North West, Suite E, Great Falls, MT 59404 | 2007-12-13 |
| 1780714055 | Kevin Charles Otheim | Chiropractor | 1201 Central Ave, Ste 2, Great Falls, MT 59401-3776 | 2007-03-06 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
Please comment or provide details below to improve the information on JERALD DALE WILEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.