Active NPI
Elmore Chiropractic & Nutrition, LC
- Chiropractor
- Syracuse, UT
National Provider Identifier
1265754196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ELMORE CHIROPRACTIC & NUTRITION, LC
- Practice address
- 1842 S 2000 W
Suite 2
Syracuse, UT 84075-9626 - Phone
- (801) 774-7540
- Fax
- (801) 774-7542
- NPI assigned
- Feb 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathan Wesley Elmore, D.C.
- Title
- Owner
- Phone
- (801) 774-7540
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1842 S 2000 W
Suite 2
Syracuse, UT 84075-9626
Mailing address
1842South 2000 West
Suite 2
Syracuse, UT 84075-9626
Phone (801) 774-7540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100415000524 | UT | Part B Supplier - Clinic/Group Practice | 0648307124 |
Receives reassigned benefits from 1 practitioner Practice locations: Syracuse, UT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Syracuse, UT
- NPI 1811081771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1265754196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842SOUTH 2000 WEST",
"address_2": "SUITE 2",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840759626",
"telephone_number": "801-774-7540",
"fax_number": "801-774-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 S 2000 W",
"address_2": "SUITE 2",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840759626",
"telephone_number": "801-774-7540",
"fax_number": "801-774-7542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMORE CHIROPRACTIC & NUTRITION, LC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "ELMORE",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "WESLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-774-7540",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.