Justin K Poppe P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6996342-1202 Issued in UT

Legal business name

JUSTIN K POPPE P C

Practice address

720 S River Rd Ste B110
Saint George, UT 84790-5570

Phone

(435) 773-3940

NPI assigned

Oct 27, 2009

Last updated

Oct 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin K Poppe, D.C.NPI 1700040292

Title

Owner

Phone

(435) 773-3940

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Kevin Poppe, D.C.

  • Chiropractor
  • St George, UT
  • NPI 1700040292
  Authorized official Same address or phone

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1184950081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S RIVER RD STE B110",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847905570",
            "telephone_number": "435-773-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S RIVER RD STE B110",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847905570",
            "telephone_number": "435-773-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN K POPPE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "POPPE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-773-3940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6996342-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in St George, UT
• Providers in St George, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.