Active NPI
Gregory Deforest Futrell, DC
- Chiropractor
- Salt Lake Cty, UT
National Provider Identifier
1124100219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2897831202
- Practice address
- 7050 Highland Dr Ste 140
Salt Lake Cty, UT 84121-3763 - Phone
- (801) 944-8700
- Fax
- (801) 944-0688
- NPI assigned
- Oct 19, 2006
- Last updated
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2897831202 | UT | Primary |
Addresses
Primary practice location
7050 Highland Dr Ste 140
Salt Lake Cty, UT 84121-3763
Mailing address
7050 Highland Dr Ste 140
Salt Lake Cty, UT 84121-3763
Phone (801) 944-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040105000152 | UT | Practitioner - Chiropractic | 9638078132 | Practice locations: Salt Lake City, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7050 S Highland Dr
Suite 140
Salt Lake City, UT 84121-3763
Phone (801) 944-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2897831202 | UT | MD | Chiropractor |
Networks
- UT PPO D-SNP
- UT PPO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1124100219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 HIGHLAND DR STE 140",
"city": "SALT LAKE CTY",
"state": "UT",
"postal_code": "841213763",
"telephone_number": "801-944-8700",
"fax_number": "801-944-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 HIGHLAND DR STE 140",
"city": "SALT LAKE CTY",
"state": "UT",
"postal_code": "841213763",
"telephone_number": "801-944-8700",
"fax_number": "801-944-0688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUTRELL",
"first_name": "GREGORY",
"middle_name": "DEFOREST",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "2897831202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake Cty, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.