NPIMap

Organization Active NPI

Rocky Mountain Spine & Injury Chiropractic, P.L.L.C.

  • Chiropractor
  • South Ogden, UT
National Provider Identifier
1194258186
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10224169-1202 Issued in UT
Legal business name
ROCKY MOUNTAIN SPINE & INJURY CHIROPRACTIC, P.L.L.C.
Practice address
5640 Wasatch Dr
Suite E
South Ogden, UT 84403-4902
Phone
(801) 388-3640
NPI assigned
Apr 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Dr. Ian Sequoia Earle, D.C.
Title
Owner
Phone
(425) 249-6497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10224169-1202 UT Primary

Addresses

Primary practice location

5640 Wasatch Dr
Suite E
South Ogden, UT 84403-4902

Mailing address

5640 Wasatch Dr
Suite E
South Ogden, UT 84403-4902
Phone (801) 388-3640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1194258186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 WASATCH DR",
            "address_2": "SUITE E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034902",
            "telephone_number": "801-388-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 WASATCH DR",
            "address_2": "SUITE E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034902",
            "telephone_number": "801-388-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN SPINE & INJURY CHIROPRACTIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "SEQUOIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-249-6497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "10224169-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.