Jason Ryan Vance, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8589999-1202 Issued in UT

Practice address

11762 S State St
Suite 320
Draper, UT 84020-7155

Phone

(801) 312-9991

Fax

(801) 312-9979

NPI assigned

Mar 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Clinic PlusGroup PAC ID 1850752627, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiropractic Clinic Plus

  • Chiropractor
  • St George, UT
  • NPI 1013601558
  Medicare reassignment Care Compare group NPD
• Coral Canyon Joint & Spine Health

  • General Practice Physician
  • Hurricane, UT
  • NPI 1104345636
  Medicare reassignment NPD

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1124369988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 W AUTUMN CREEK DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966495",
            "telephone_number": "801-662-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "address_2": "SUITE 320",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207155",
            "telephone_number": "801-312-9991",
            "fax_number": "801-312-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JASON",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8589999-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Valentini
• Nickolas Vamianakis, PHARMD
• Courtney Van Hoven, PT, DPT
• Marissa J Van Noy
• Hanna Vance
• Sydney Vance
• Elaine Vandenhazel
• William Gerritt Vander Linden III
• Mary Elizabeth Vandeven, DPT
• Sariena Vanisi

• Chiropractor in Draper, UT
• Providers in Draper, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.

Verify at the official NPI Registry.