Active NPI
Ryan James Nelson, DC
- Chiropractor
- Vernal, UT
National Provider Identifier
1063676492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6983760-1202
- Practice address
- 285 E 100 S
Vernal, UT 84078-2636 - Phone
- (435) 789-4483
- Fax
- (435) 789-4488
- NPI assigned
- Jul 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6983760-1202 | UT | Primary |
Addresses
Primary practice location
285 E 100 S
Vernal, UT 84078-2636
Mailing address
285 E 100 S
Vernal, UT 84078-2636
Phone (435) 789-4483
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1063676492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 E 100 S",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782636",
"telephone_number": "435-789-4483",
"fax_number": "435-789-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 E 100 S",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782636",
"telephone_number": "435-789-4483",
"fax_number": "435-789-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RYAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "6983760-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.