Organization Active NPI

Precision Chiropractic & Wellness PLLC

  • Chiropractor
  • Ogden, UT
National Provider Identifier
1023388634
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRECISION CHIROPRACTIC & WELLNESS PLLC
Practice address
859 Washington Blvd Ste 1
Ogden, UT 84404-4972
Phone
(801) 737-1033
NPI assigned
Jan 12, 2012
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Tyson Bradford, D.C.
Title
Doctor
Phone
(801) 737-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

859 Washington Blvd Ste 1
Ogden, UT 84404-4972

Mailing address

859 Washington Blvd Ste 1
Ogden, UT 84404-4972
Phone (801) 737-1033

Other identifiers 1

IdentifierTypeStateIssuer
U000072911OtherUTMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

309 W 12th St
Ste F
Ogden, UT 84404
Phone (801) 737-1033

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1023388634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON BLVD STE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844044972",
            "telephone_number": "801-737-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON BLVD STE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844044972",
            "telephone_number": "801-737-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CHIROPRACTIC & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-737-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U000072911",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.