Active NPI
Ryan E. Everhart, D.C.
- Chiropractor
- Morgan, UT
National Provider Identifier
1053365239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011203
- Practice address
- 151 N State St
Morgan, UT 84050-9919 - Phone
- (801) 845-8156
- NPI assigned
- May 20, 2006
- Last updated
- Mar 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011203 | NY | Primary |
| Chiropractor | 111N00000X | 7443715-1202 | UT |
Addresses
Primary practice location
151 N State St
Morgan, UT 84050-9919
Mailing address
PO Box 135
Morgan, UT 84050-0135
Phone (801) 845-8156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C11203-9B | Other | NY | WORKERS COMPENSATION |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 632 | WY | MD | Clinical Psychologist |
| X011203 | NY | MD | Chiropractor |
| 7443715-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Barbera Family Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Morgan, UT
- NPI 1912205006
-
- Chiropractor
- Utica, NY
- NPI 1255306569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1053365239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 135",
"city": "MORGAN",
"state": "UT",
"postal_code": "840500135",
"telephone_number": "801-845-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N STATE ST",
"city": "MORGAN",
"state": "UT",
"postal_code": "840509919",
"telephone_number": "801-845-8156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERHART",
"first_name": "RYAN",
"middle_name": "E.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011203",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "7443715-1202",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "C11203-9B",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.