Organization Active NPI

Scoville Chiropractic Clinic LLP

  • Clinic/Center
  • Delta, UT
National Provider Identifier
1194993279
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
167713-1202 Issued in UT
Legal business name
SCOVILLE CHIROPRACTIC CLINIC LLP
Practice address
58 E Main St
Suite 1
Delta, UT 84624-9500
Phone
(435) 864-5121
NPI assigned
Feb 12, 2008
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. Rodger Lorin Scoville, D.C.
Title
Partner
Phone
(435) 864-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 167713-1202 UT Primary

Addresses

Primary practice location

58 E Main St
Suite 1
Delta, UT 84624-9500

Mailing address

58 E Main St
Suite 1
Delta, UT 84624-9500
Phone (435) 864-5121

Other identifiers 1

IdentifierTypeStateIssuer
D1882MedicaidUT

National Provider Directory

National Provider Directory

Locations

58 E Main St
Ste 1
Delta, UT 84624
Phone (435) 864-1833

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1194993279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846249500",
            "telephone_number": "435-864-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846249500",
            "telephone_number": "435-864-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOVILLE CHIROPRACTIC CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SCOVILLE",
        "authorized_official_first_name": "RODGER",
        "authorized_official_middle_name": "LORIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "435-864-5121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "167713-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1882",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.