Organization Active NPI

Spinal Care Management, Inc.

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1275664948
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINAL CARE MANAGEMENT, INC.
Practice address
505 E 200 S
Suite 425
Salt Lake City, UT 84102-2022
Phone
(801) 363-0060
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Ms. Dianne Wygant
Title
Owner
Phone
(801) 301-0351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

505 E 200 S
Suite 425
Salt Lake City, UT 84102-2022

Mailing address

505 E 200 S
Suite 425
Salt Lake City, UT 84102-2022
Phone (801) 363-0060

Other names 1

  • Maple Ridge Spinal Pain Center--Salt Lake Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1275664948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E 200 S",
            "address_2": "SUITE 425",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022022",
            "telephone_number": "801-363-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 200 S",
            "address_2": "SUITE 425",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022022",
            "telephone_number": "801-363-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "WYGANT",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-301-0351",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Ridge Spinal Pain Center--Salt Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.