Individual provider Active NPI

Erik Schlobohm, D.C.

  • Chiropractor
  • Riverton, UT
National Provider Identifier
1033314737
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6763473-1202 Issued in UT
Practice address
1273 W 12600 S
Suite 404
Riverton, UT 84065-7111
Phone
(801) 828-0704
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6763473-1202 UT Primary

Addresses

Primary practice location

1273 W 12600 S
Suite 404
Riverton, UT 84065-7111

Mailing address

1273 W 12600 S
Suite 404
Riverton, UT 84065-7111
Phone (801) 828-0704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6763473-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1033314737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 W 12600 S",
            "address_2": "SUITE 404",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657111",
            "telephone_number": "801-828-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 W 12600 S",
            "address_2": "SUITE 404",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657111",
            "telephone_number": "801-828-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOBOHM",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6763473-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.