Roosevelt Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8526112-1202 Issued in UT

Legal business name

ROOSEVELT CHIROPRACTIC, P.C.

Practice address

383 E Lagoon St
Roosevelt, UT 84066-3017

Phone

(435) 722-3370

Fax

(435) 722-3384

NPI assigned

Mar 5, 2013

Last updated

Mar 5, 2013By 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. Michael M Campbell, D.C.NPI 1700989746

Title

President

Phone

(907) 888-4139

Specialties & licenses 1

Addresses

Locations

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.

• Michael McKeough Campbell, DC

  • Chiropractor
  • Roosevelt, UT
  • NPI 1700989746
  Authorized official Same address or phone
• Terrance Marshall Cooper, D.C.

  • Chiropractor
  • Parowan, UT
  • NPI 1720183288
  NPD (past)
• George Alfred Hartle, DC

  • Chiropractor
  • Roosevelt, UT
  • NPI 1306885967
  NPD (past)

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1043551757",
    "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": "ROOSEVELT CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-888-4139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8526112-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Right Step Prosthetics Inc.
• Kristopher Scott Riser, FNP
• Robinson Dental & Implants
• Dan Ray Robinson, DMD
• Adam Rockwood, ATC
• Roosevelt Vision Clinic, PC
• Salt Lake City Vamc
• Todd Scholes, PT
• Clark K Sessions, PA-C
• Kent E Smith, MD

• Chiropractor in Roosevelt, UT
• Providers in Roosevelt, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.