Dan Egbert, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

292680-1202 Issued in UT

Practice address

1273 W 12600 S Ste 401
Riverton, UT 84065-7111

Phone

(801) 446-0383

Fax

(801) 446-0391

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Networks

• UT PPO
• UT PPO D-SNP

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003831223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 W 12600 S STE 401",
            "address_2": "P.O. BOX 949",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657111",
            "telephone_number": "801-446-0383",
            "fax_number": "801-446-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 W 12600 S STE 401",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657111",
            "telephone_number": "801-446-0383",
            "fax_number": "801-446-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "292680-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eco Pharmacy of Salt Lake City 1 LLC (Eco Pharmacy of Salt Lake City)
• Janet Benavidez Eddy, M.D.
• Sean Frederick Edmunds, MD
• Robert Philip Edwards, MD
• Tammy Edwards
• Jonathan Samuel Egbert, PT
• Tracy Elkington, SLP
• Mark R Elkins, DPM
• Kayla Ellingson, CMHC
• Ellsworth Foot and Ankle Clinic (Summit Foot and Ankle)

• Chiropractor in Riverton, UT
• Providers in Riverton, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.