Zachary Todd Manwaring, DC

Individual provider Active NPI Orthopedic Chiropractor · Hyde Park, UT

NPI 1215410212 · NPPES record last updated Oct 29, 2025

Key facts

NPI
1215410212
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Chiropractor 111NX0800X
License
10976165-1202 (UT)
Practice address
245 N 700 W
Hyde Park, UT 84318-4076
Phone
(435) 563-4141
Fax
(435) 563-0293
NPI assigned
Sep 14, 2018
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Also: Preventive Medicine
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

245 N 700
Hyde Park, UT 84318-4076
Phone (435) 563-4141

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190816003014 UT Practitioner - Chiropractic
Practitioner - Preventive Medicine
8820326622 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Body Health Care PLLC Chiropractor Current
since Aug 1, 2023
Accepting new patients
Red Tyde Past
since Jan 1, 2024
Accepting new patients

Locations

245 N 700 W
Hyde Park, UT 84318
Phone (435) 213-3797

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 10976165-1202 UT Yes
Chiropractor 111N00000X 10976165-1202 UT

Addresses

Primary practice location

245 N 700 W
Hyde Park, UT 84318-4076

Mailing address

245 N 700 W
Hyde Park, UT 84318-4076
Phone (435) 563-4141

Other providers in Hyde Park, UT

All providers in Hyde Park, UT · Orthopedic Chiropractor in Utah

Sources for this page

Verify at the official NPI Registry.