Maple Ridge Chiropractic & Massage

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8817809-1202 Issued in UT

Legal business name

MAPLE RIDGE CHIROPRACTIC & MASSAGE

Practice address

655 E 400 S Ste D
Springville, UT 84663-2039

Phone

(801) 655-3989

NPI assigned

Oct 21, 2013

Organization subpart

No

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

Authorized official

Name

Reed R Richards, D.C.

Title

Chiropractor

Phone

(801) 655-3989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1053749531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 400 S STE D",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632039",
            "telephone_number": "801-655-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 400 S STE D",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632039",
            "telephone_number": "801-655-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE RIDGE CHIROPRACTIC & MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-655-3989",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8817809-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.