DR. DANIEL R. PRIDEAUX (NPI# 1851496467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851496467 |
| Entity Type | Individual |
| Full Name | DR. DANIEL R. PRIDEAUX |
| Credential | D.C. |
| Practice Address |
1001 Sw Higgins Ave Suite 102 Missoula MT 59803-1341 |
| Practice Telephone | 4067214425 |
| Practice Fax Number | 4067214426 |
| Mailing Telephone | 4067214425 |
| Mailing Fax Number | 4067214426 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
437 | MT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BC/BS | 4142-0 | 01 |
| Street Address |
1001 SW HIGGINS AVE SUITE 102 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784350 | Suzanne Sterrett | Social Worker | 1001 Sw Higgins Ave, Ste 207, Missoula, MT 59803-1340 | 2017-04-18 |
| 1194033720 | Foothills Chiropractic Center, PC | Chiropractor | 1001 Sw Higgins Ave, Suite 102, Missoula, MT 59803-1341 | 2010-09-16 |
| 1326174566 | Jacqueline Day | Clinical Neuropsychologist | 1001 Sw Higgins Ave, Suite 207, Missoula, MT 59803-1341 | 2007-02-24 |
| 1386793289 | Patricia Lee Webber | Clinical Neuropsychologist | 1001 Sw Higgins Ave, Suite 207, Missoula, MT 59803-1341 | 2007-01-09 |
| 1649350513 | Staci Lindsay | Counselor | 1001 Sw Higgins Ave, Suite 207, Missoula, MT 59803-1341 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992061410 | Casey Trent Cordial | Chiropractor | 701 W Spruce St, Missoula, MT 59802-3904 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800382 | Pursuit Chiropractic LLC | Chiropractor | 110 N Montana St, Dillon, MT 59725-3308 | 2020-04-23 |
| 1063916302 | Jordan Bagley | Chiropractor | 338 N Ewing St, Helena, MT 59601-4050 | 2018-03-21 |
| 1528479417 | Kenkou | Chiropractor | 1726 Sylvan Ln, Billings, MT 59105-3816 | 2014-05-13 |
| 1225449259 | Brian Bushman | Chiropractor | 895 Main St Ste 4, Billings, MT 59105-3320 | 2014-05-13 |
| 1003243346 | Gina Marie Wade | Chiropractor | 4 1st St E Ste 100, Kalispell, MT 59901-4554 | 2013-10-01 |
| 1841345717 | James John Mckiernan | Chiropractor | 1031 S Main St, Kalispell, MT 59901-5635 | 2007-01-23 |
| 1982758579 | Amy A Pezo | Chiropractor | 1617 Euclid Ave Ste 5, Helena, MT 59601-2048 | 2007-01-22 |
| 1265597348 | Jeff Saad | Chiropractor | 2815 Aspen Drive, 6, Big Sky, MT 59716 | 2006-12-27 |
| 1831370378 | Stillwater Spine & Sports Center, Inc | Chiropractor | 80 Four Mile Dr, Suite 16, Kalispell, MT 59901-2665 | 2007-11-26 |
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| 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.