Walter Wayne Hirsbrunner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

166982-1202 Issued in UT

Practice address

1845 West 4400 South
Ste. 104
Roy, UT 84067-3049

Phone

(801) 731-6800

Fax

(801) 731-6802

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WWH Inc

  • Chiropractor
  • Roy, UT
  • NPI 1659576262
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073640280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 WEST 4400 SOUTH",
            "address_2": "STE. 104",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840673049",
            "telephone_number": "801-731-6800",
            "fax_number": "801-731-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 WEST 4400 SOUTH",
            "address_2": "STE. 104",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840673049",
            "telephone_number": "801-731-6800",
            "fax_number": "801-731-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSBRUNNER",
        "first_name": "WALTER",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "166982-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexa Lauren Hodson
• Brenda Hogge, DPT
• Kalani Holloway
• Kylee Holm
• Horizons Counseling & Wellness Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.