NPIMap

Organization Active NPI

Mt. Gibborim, PLLC

Doing business as Coral Canyon Chiropractic

  • Chiropractor
  • Hurricane, UT
National Provider Identifier
1215154034
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60040551202 Issued in UT
Legal business name
MT. GIBBORIM, PLLC
Doing business as
Coral Canyon Chiropractic
Practice address
83 S 2600 W
Suite 102
Hurricane, UT 84737-3266
Phone
(435) 635-7771
Fax
(435) 635-7701
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. Joshua Alan Carr, D.C.NPI 1538235221
Title
Owner
Phone
(435) 635-7771

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 60040551202 UT Primary

Addresses

Primary practice location

83 S 2600 W
Suite 102
Hurricane, UT 84737-3266

Mailing address

83 S 2600 W
Suite 102
Hurricane, UT 84737-3266
Phone (435) 635-7771

Other names 1

  • Coral Canyon Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2250 N Coral Canyon Blvd
Ste 202
Washington, UT 84780
Phone (435) 627-9993

Practitioners & affiliated clinicians

Practitioners 3

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1215154034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S 2600 W",
            "address_2": "SUITE 102",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373266",
            "telephone_number": "435-635-7771",
            "fax_number": "435-635-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S 2600 W",
            "address_2": "SUITE 102",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373266",
            "telephone_number": "435-635-7771",
            "fax_number": "435-635-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. GIBBORIM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-635-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "60040551202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Canyon Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.