Organization Active NPI

Dr Clint J Grover Chiropractor PLLC

Doing business as Bountiful Spinal Care

  • Chiropractor
  • Bountiful, UT
National Provider Identifier
1194147710
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
86077091202 Issued in UT
Legal business name
DR CLINT J GROVER CHIROPRACTOR PLLC
Doing business as
Bountiful Spinal Care
Practice address
535 W 500 S Ste 1
Bountiful, UT 84010-8176
Phone
(801) 335-7288
Fax
(801) 335-7284
NPI assigned
Jan 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Dr. Clint J. Grover, D.C.NPI 1831492917
Title
Owner
Phone
(801) 335-7288

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 86077091202 UT Primary

Addresses

Primary practice location

535 W 500 S Ste 1
Bountiful, UT 84010-8176

Mailing address

535 W 500 S Ste 1
Bountiful, UT 84010-8176
Phone (801) 335-7288

Other names 1

  • Bountiful Spinal Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140507001729 UT Part B Supplier - Clinic/Group Practice 3476786930 Receives reassigned benefits from 1 practitioner
Practice locations: West Bountiful, UT

National Provider Directory

National Provider Directory

Locations

535 W 500 S
Ste 1
Bountiful, UT 84010
Phone (801) 335-7288

724 W 500 S
Ste 100
Woods Cross, UT 84087
Phone (801) 335-7288

Practitioners & affiliated clinicians

Practitioners 2

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": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1194147710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W 500 S STE 1",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108176",
            "telephone_number": "801-335-7288",
            "fax_number": "801-335-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 500 S STE 1",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108176",
            "telephone_number": "801-335-7288",
            "fax_number": "801-335-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CLINT J GROVER CHIROPRACTOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-335-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "86077091202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bountiful Spinal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.