Valley Chiropractic & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8530109-1202 Issued in UT

Legal business name

VALLEY CHIROPRACTIC & WELLNESS LLC

Practice address

663 N. Main St.
Spanish Fork, UT 84660-1144

Phone

(801) 894-9633

Fax

(801) 386-5634

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Adam Richard Idsinga, D.C.NPI 1841589660

Title

Owner/Operator

Phone

(801) 894-9633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam R. Idsinga, D.C.

  • Chiropractor
  • Spanish Fork, UT
  • NPI 1841589660
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1255768438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 N. MAIN ST.",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601144",
            "telephone_number": "801-894-9633",
            "fax_number": "801-386-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 N. MAIN ST.",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601144",
            "telephone_number": "801-894-9633",
            "fax_number": "801-386-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "IDSINGA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "801-894-9633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8530109-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.