Center for Team Healthcare

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

221669991202 Issued in UT

Legal business name

CENTER FOR TEAM HEALTHCARE

Practice address

1901 Prospector Ave Ste 10
Park City, UT 84060-7207

Phone

(435) 649-1542

Fax

(435) 658-4909

NPI assigned

Jan 24, 2008

Last updated

Jul 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan J Black, D.C.NPI 1316434913

Title

Owner

Phone

(435) 649-1542

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Nathan Jeremy Black, DC

  • Chiropractor
  • Park City, UT
  • NPI 1316434913
  Authorized official Same address or phone
• Scott Lopaka Sato, D.C.

  • Chiropractor
  • Park City, UT
  • NPI 1144428152
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1033396775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PROSPECTOR AVE STE 10",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607550",
            "telephone_number": "435-649-1542",
            "fax_number": "435-658-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PROSPECTOR AVE STE 10",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607207",
            "telephone_number": "435-649-1542",
            "fax_number": "435-658-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR TEAM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-649-1542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "UT",
            "license": "221669991202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569743626001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Castle, OD
• Catholic Health Initiatives Colorado (Orthopedics & Sports Medicine Park City)
• CBS Vision Inc. (Mountain Valley Eye Institute)
• Maribel Cedillo
• Amanda J. Cencak, LCMHC
• Robert D. Cervantez, PT
• Jordan Chamberlain, MA, BCBA
• Scott M Chandler, DMD
• Sierra Chapman, PT, DPT
• Child&Family Institute for Assessment and Psychotherapy, LLC (Child & Family Institute, LLC)

• Orthopedic Chiropractor in Park City, UT
• Providers in Park City, UT by specialty
• Orthopedic Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.