Active NPI
Mayer Chiropractic and Wellness PC
- Chiropractor
- Clearfield, UT
National Provider Identifier
1184618514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 48735991202
- Legal business name
- MAYER CHIROPRACTIC AND WELLNESS PC
- Practice address
- 926 W 1700 S
Suite B
Clearfield, UT 84015-8530 - Phone
- (801) 775-8880
- Fax
- (801) 775-8890
- NPI assigned
- Aug 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brent James Mayer, DC
- Title
- President
- Phone
- (801) 773-8880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 48735991202 | UT | Primary |
Addresses
Primary practice location
926 W 1700 S
Suite B
Clearfield, UT 84015-8530
Mailing address
926 W 1700 S
Suite B
Clearfield, UT 84015-8530
Phone (801) 775-8880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528515844001 | Medicaid | UT |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1125446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184618514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 W 1700 S",
"address_2": "SUITE B",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840158530",
"telephone_number": "801-775-8880",
"fax_number": "801-775-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 W 1700 S",
"address_2": "SUITE B",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840158530",
"telephone_number": "801-775-8880",
"fax_number": "801-775-8890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYER CHIROPRACTIC AND WELLNESS PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAYER",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-773-8880",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "UT",
"license": "48735991202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528515844001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.