Organization Active NPI

Chiropractic Clinic Plus

  • Chiropractor
  • St George, UT
National Provider Identifier
1013601558
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC CLINIC PLUS
Practice address
1397 W Sunset Blvd Ste 109
St George, UT 84770-4212
Phone
(435) 275-8888
Fax
(435) 275-9230
NPI assigned
Jun 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Ms. Nicolette Terry
Title
Clinic Manager
Phone
(435) 275-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1397 W Sunset Blvd Ste 109
St George, UT 84770-4212

Mailing address

1397 W Sunset Blvd Ste 109
St George, UT 84770-4212
Phone (435) 275-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230727000622 UT Part B Supplier - Clinic/Group Practice 1850752627 Receives reassigned benefits from 3 practitioners
Practice locations: St George, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

1397 W Sunset Blvd
Ste 109
St George, UT 84770
Phone (435) 275-8888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1013601558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 W SUNSET BLVD STE 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704212",
            "telephone_number": "435-275-8888",
            "fax_number": "435-275-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 W SUNSET BLVD STE 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704212",
            "telephone_number": "435-275-8888",
            "fax_number": "435-275-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CLINIC PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "435-275-8888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.