Organization Active NPI

Rosquist Group P C

  • Orthopedic Chiropractor
  • Riverton, UT
National Provider Identifier
1134375751
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
174224-1202 Issued in UT
Legal business name
ROSQUIST GROUP P C
Practice address
3409 W 12600 S
#200
Riverton, UT 84065
Phone
(801) 676-8770
Fax
(801) 676-8772
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Gary RosquistNPI 1427078666
Title
President
Phone
(801) 676-8770

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
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 174224-1202 UT Primary

Addresses

Primary practice location

3409 W 12600 S
#200
Riverton, UT 84065

Mailing address

3409 W 12600 S
#200
Riverton, UT 84065
Phone (801) 676-8770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080923000114 UT Part B Supplier - Clinic/Group Practice 8123195831 Receives reassigned benefits from 1 practitioner
Practice locations: Riverton, UT

National Provider Directory

National Provider Directory

Locations

3409 W 12600 S
Ste 200
Riverton, UT 84065
Phone (801) 676-8770

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": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1134375751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S",
            "address_2": "#200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-676-8770",
            "fax_number": "801-676-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S",
            "address_2": "#200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-676-8770",
            "fax_number": "801-676-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSQUIST GROUP P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "ROSQUIST",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-676-8770"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "UT",
            "license": "174224-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.