NPIMap

Organization Active NPI

Hartle Chiropractic Clinic, Inc.

  • Chiropractor
  • Roosevelt, UT
National Provider Identifier
1023392248
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3663641202 Issued in UT
Legal business name
HARTLE CHIROPRACTIC CLINIC, INC.
Practice address
383 E Lagoon St
Roosevelt, UT 84066-3017
Phone
(435) 722-3370
Fax
(435) 722-3384
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. George Alfred Hartle, D.C.NPI 1306885967
Title
President
Phone
(435) 722-3370

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 3663641202 UT Primary

Addresses

Primary practice location

383 E Lagoon St
Roosevelt, UT 84066-3017

Mailing address

383 E Lagoon St
Roosevelt, UT 84066-3017
Phone (435) 722-3370

National Provider Directory

National Provider Directory

Locations

383 E Lagoon St
Roosevelt, UT 84066
Phone (435) 722-3370

Practitioners & affiliated clinicians

Practitioners 3

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": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1023392248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 E LAGOON ST",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840663017",
            "telephone_number": "435-722-3370",
            "fax_number": "435-722-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 E LAGOON ST",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840663017",
            "telephone_number": "435-722-3370",
            "fax_number": "435-722-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLE CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "HARTLE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-722-3370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3663641202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.