NPIMap

Organization Active NPI

Synergy Soft Tissue Center, LLC

  • Chiropractor
  • Hyrum, UT
National Provider Identifier
1013282474
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
81107501202 Issued in UT
Legal business name
SYNERGY SOFT TISSUE CENTER, LLC
Practice address
30 E Main St
Hyrum, UT 84319-1310
Phone
(435) 245-7555
NPI assigned
Mar 19, 2012
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Timothy Bailey, DCNPI 1891063731
Title
Doctor
Phone
(435) 245-7555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 81107501202 UT Primary

Addresses

Primary practice location

30 E Main St
Hyrum, UT 84319-1310

Mailing address

30 E Main St
Hyrum, UT 84319-1310
Phone (435) 245-7555

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1013282474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E MAIN ST",
            "city": "HYRUM",
            "state": "UT",
            "postal_code": "843191310",
            "telephone_number": "435-245-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E MAIN ST",
            "city": "HYRUM",
            "state": "UT",
            "postal_code": "843191310",
            "telephone_number": "435-245-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SOFT TISSUE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "435-245-7555",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "81107501202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyrum, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.