Organization Active NPI

Mountain View Chiropractic Center, PLLC

  • Chiropractor
  • Orem, UT
National Provider Identifier
1235284092
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
164778-1202 Issued in UT
Legal business name
MOUNTAIN VIEW CHIROPRACTIC CENTER, PLLC
Practice address
207 N State St
Orem, UT 84057-4745
Phone
(801) 225-3481
NPI assigned
Jan 24, 2007
Last updated
Aug 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Louis S Carr, D.C.NPI 1700802592
Title
Owner
Phone
(801) 225-3481

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 164778-1202 UT Primary

Addresses

Primary practice location

207 N State St
Orem, UT 84057-4745

Mailing address

207 N State St
Orem, UT 84057-4745
Phone (801) 225-3481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050819000746 UT Part B Supplier - Clinic/Group Practice 4880624774 Receives reassigned benefits from 2 practitioners
Practice locations: Orem, UT

National Provider Directory

National Provider Directory

Locations

207 N State St
Orem, UT 84057
Phone (801) 225-3481

Practitioners & affiliated clinicians

Practitioners 4

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1235284092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574745",
            "telephone_number": "801-225-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574745",
            "telephone_number": "801-225-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-225-3481",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "164778-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.