NPIMap

Organization Active NPI

Clinica Chiropractic

  • Chiropractor
  • St George, UT
National Provider Identifier
1073997979
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00035635 Issued in UT
Legal business name
CLINICA CHIROPRACTIC
Practice address
1397 W Sunset Blvd Ste 109
St George, UT 84770-4212
Phone
(435) 275-8888
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Rigoberto Bonilla
Title
Owner/Manager
Phone
(435) 275-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 00035635 UT Primary

Addresses

Primary practice location

1397 W Sunset Blvd Ste 109
St George, UT 84770-4212

Mailing address

1397 W Sunset Blvd Ste 109
St George, UT 84770-4212
Phone (435) 275-8888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1073997979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 W SUNSET BLVD STE 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704212",
            "telephone_number": "435-275-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 W SUNSET BLVD STE 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704212",
            "telephone_number": "435-275-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "RIGOBERTO",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "435-275-8888"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "00035635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.