Favero Chiropractic
Organization Active NPI Chiropractor · North Ogden, UT
NPI 1093102436 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1093102436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 83176191202 (UT)
- Legal business name
- FAVERO CHIROPRACTIC
- Practice address
- 365 E Lomond View Dr # 102
North Ogden, UT 84414-2269 - Phone
- (801) 784-6306
- Fax
- (801) 784-6316
- NPI assigned
- Apr 23, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeffrey Robert Favero, D.C.
- Title
- Owner
- Phone
- (801) 784-6306
National Provider Directory
Locations
365 E Lomond View Dr
Ste 102
North Ogden, UT 84414
Phone (801) 503-0848
365 E Lomond View Dr
Ste 201
North Ogden, UT 84414
Phone (385) 244-0113
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 83176191202 | UT | Yes |
Addresses
Primary practice location
365 E Lomond View Dr # 102
North Ogden, UT 84414-2269
Mailing address
365 E Lomond View Dr # 102
North Ogden, UT 84414-2269
Phone (801) 784-6306
Other names
- Favero Chiropractic, P.C.
NPI Registry JSON
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612396800000",
"number": "1093102436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 E LOMOND VIEW DR # 102",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844142269",
"telephone_number": "801-784-6306",
"fax_number": "801-784-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 E LOMOND VIEW DR # 102",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844142269",
"telephone_number": "801-784-6306",
"fax_number": "801-784-6316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAVERO CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-23",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A",
"authorized_official_last_name": "FAVERO",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-784-6306",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "UT",
"license": "83176191202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Favero Chiropractic, P.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.