NPIMap

Organization Active NPI

Mountain View Chiropractic, Inc

  • Chiropractor
  • Ogden, UT
National Provider Identifier
1043461981
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
364218-1202 Issued in UT
Legal business name
MOUNTAIN VIEW CHIROPRACTIC, INC
Practice address
859 Washington Blvd
Suite 1
Ogden, UT 84404-4962
Phone
(801) 621-6155
Fax
(801) 621-6158
NPI assigned
Oct 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Lance Tilley, D.C.
Title
Owner/Chiropractic Physician
Phone
(801) 621-6155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 364218-1202 UT Primary

Addresses

Primary practice location

859 Washington Blvd
Suite 1
Ogden, UT 84404-4962

Mailing address

859 Washington Blvd
Suite 1
Ogden, UT 84404-4962
Phone (801) 621-6155

Other identifiers 2

IdentifierTypeStateIssuer
51902048177001OtherUTBLUECROSS
519020481001MedicaidUT

Other names 1

  • Lance Tilley, D.C. Doing business as

National Provider Directory

National Provider Directory

Locations

859 Washington Blvd
Ste 1
Ogden, UT 84404
Phone (801) 621-6155

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1043461981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON BLVD",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844044962",
            "telephone_number": "801-621-6155",
            "fax_number": "801-621-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON BLVD",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844044962",
            "telephone_number": "801-621-6155",
            "fax_number": "801-621-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "801-621-6155",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "364218-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "51902048177001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519020481001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lance Tilley, D.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2008; 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.