Active NPI
Joshua James Redd, D.C.
- Naturopath
- Provo, UT
National Provider Identifier
1063713329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 5791354-7101
- Practice address
- 2230 N University Pkwy
6B
Provo, UT 84604-1509 - Phone
- (801) 235-9944
- NPI assigned
- Nov 3, 2010
- Last updated
- Jul 22, 2024
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 5791354-7101 | UT | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 5791354-1202 | UT |
Addresses
Primary practice location
2230 N University Pkwy
6B
Provo, UT 84604-1509
Mailing address
2230 N University Pkwy Ste 6B
Provo, UT 84604-1584
Phone (801) 235-9955
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 |
|---|---|---|---|
| 5791354-1202 | UT | MD | Rehabilitation Chiropractor |
| 5791354-7101 | UT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Wellness Chiropractic & Rehabilitation Clinic | Rehabilitation | 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.
-
- Rehabilitation Chiropractor
- South Jordan, UT
- NPI 1861795205
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1063713329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 N UNIVERSITY PKWY STE 6B",
"city": "PROVO",
"state": "UT",
"postal_code": "846041584",
"telephone_number": "801-235-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 N UNIVERSITY PKWY",
"address_2": "6B",
"city": "PROVO",
"state": "UT",
"postal_code": "846041509",
"telephone_number": "801-235-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDD",
"first_name": "JOSHUA",
"middle_name": "JAMES",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-03",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "UT",
"license": "5791354-7101",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "UT",
"license": "5791354-1202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.