South Towne Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

176342-1202 Issued in UT

Legal business name

SOUTH TOWNE CHIROPRACTIC PC

Practice address

8915 S 700 E
Ste 201
Sandy, UT 84070-2417

Phone

(801) 523-6327

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rodney Raymond Scuderi, D.C.NPI 1548271950

Title

Owner/Chiropractor

Phone

(801) 523-6327

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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

• Rodney Raymond Scuderi, D.C.

  • Chiropractor
  • Sandy, UT
  • NPI 1548271950
  Medicare reassignment NPD Authorized official
• Gregory K Hansen, D.C.

  • Chiropractor
  • Sandy, UT
  • NPI 1275602724
  NPD

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1023294253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 S 700 E",
            "address_2": "STE 201",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702417",
            "telephone_number": "801-523-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 S 700 E",
            "address_2": "STE 201",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702417",
            "telephone_number": "801-523-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TOWNE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SCUDERI",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "801-523-6327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "176342-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "51019",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "633116",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "107001530102",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.