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UINTA SPINE ALIGN
NPI 1104692375
Chiropractor in Evanston, WY

Active since November 29, 2023
1425 HIGHWAY 150 S STE 2, EVANSTON, WY 82930(307) 222-4322(307) 444-4325 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Uinta Spine Align NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UINTA SPINE ALIGN (NPI 1104692375), doing business as Davidson Chiropractic Clinic Evanston, is a healthcare organization registered as a chiropractor in Evanston, Wyoming and active in the NPI registry since November 2023. The organization lists Jay Dee Mangum, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1104692375
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameUINTA SPINE ALIGN
Location Address1425 HIGHWAY 150 S STE 2Evanston, WY 82930-5377
Mailing Address1425 Highway 150 S Ste 2Evanston, WY 82930-5377 · (307) 222-4322 · Fax (307) 444-4325
Phone(307) 222-4322
Fax(307) 444-4325
Organization SubpartNo
Authorized OfficialJay Dee MangumOwner/ceo · (307) 222-4322
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1104692375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
1425 HIGHWAY 150 S STE 2, Evanston, WY 82930
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Other Names 1

Doing Business AsDavidson Chiropractic Clinic Evanston

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uinta Spine Align is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Uinta Spine Align, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jay Mangum, DC
Chiropractic
NPI 1699127159
21770 KINGSLAND BLVD
Katy, TX 77450
(800) 404-6050
✔ Accepts Medicare1,163 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Uinta Spine Align's NPI number?

The NPI number for Uinta Spine Align is 1104692375. It was assigned to this organization in the NPPES registry on November 29, 2023. The provider is doing business as Davidson Chiropractic Clinic Evanston.

Where is Uinta Spine Align located?

Uinta Spine Align is located at 1425 Highway 150 S Ste 2, Evanston, WY 82930. The listed phone number is (307) 222-4322.

What is Uinta Spine Align's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Uinta Spine Align enrolled in Medicare?

Yes. Uinta Spine Align is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Uinta Spine Align?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Uinta Spine Align. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Uinta Spine Align accept?

Health plans from Blue Cross Blue Shield of Wyoming list Uinta Spine Align as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Uinta Spine Align was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.