Ron T Dummar, D.C.
Individual provider Active NPI Chiropractor · Heber, UT
NPI 1073849873 · NPPES record last updated Oct 29, 2009
Key facts
- NPI
- 1073849873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7227342-1202 (UT)
- Practice address
- 325 West 600 S St. 403
Heber, UT 84032 - Phone
- (435) 657-3696
- Fax
- (435) 657-3697
- NPI assigned
- Oct 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
345 W 600 S
Suite 401
Heber City, UT 84032-2284
Phone (435) 657-3696
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100312000014 | UT | Practitioner - Chiropractic | 2668507914 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7227342-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Wellness, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
345 W 600 S
Ste 401
Heber City, UT 84032
Phone (435) 657-3696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7227342-1202 | UT | Yes |
Addresses
Primary practice location
325 West 600 S St. 403
Heber, UT 84032
Mailing address
325 West 600 S St. 403
Heber, UT 84032
Phone (435) 657-3696
Other providers in Heber, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.