Organization Active NPI

R Dane Owens Chiropractic PLLC

  • Chiropractor
  • Santaquin, UT
National Provider Identifier
1104280452
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9710732-1202 Issued in UT
Legal business name
R DANE OWENS CHIROPRACTIC PLLC
Practice address
27 W Main St Ste a
Santaquin, UT 84655-5641
Phone
(801) 609-7291
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Robert Dane Owens, D.C.NPI 1164884037
Title
Chiropratic Physician
Phone
(801) 698-4493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9710732-1202 UT Primary

Addresses

Primary practice location

27 W Main St Ste a
Santaquin, UT 84655-5641

Mailing address

392 E 12300 S
Suite C
Draper, UT 84020-8181
Phone (801) 849-1029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630000417 UT Part B Supplier - Clinic/Group Practice 8325330954 Receives reassigned benefits from 1 practitioner
Practice locations: Santaquin, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1104280452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 E 12300 S",
            "address_2": "SUITE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208181",
            "telephone_number": "801-849-1029",
            "fax_number": "801-890-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W MAIN ST STE A",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846555641",
            "telephone_number": "801-609-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DANE OWENS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "CHIROPRATIC PHYSICIAN",
        "authorized_official_telephone_number": "801-698-4493",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "9710732-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santaquin, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.