NPIMap

Organization Active NPI

Cannon Chiropractic LLC

Doing business as Stevens Chiropractic Clinic

  • Chiropractor
  • North Logan, UT
National Provider Identifier
1275945701
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7875588-1202 Issued in UT
Legal business name
CANNON CHIROPRACTIC LLC
Doing business as
Stevens Chiropractic Clinic
Practice address
1635 N 200 E
North Logan, UT 84341-1913
Phone
(435) 755-7654
Fax
(435) 753-7654
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Dr. Chad J. Cannon, D.C.NPI 1548606601
Title
Chiropractor
Phone
(435) 755-7654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7875588-1202 UT Primary

Addresses

Primary practice location

1635 N 200 E
North Logan, UT 84341-1913

Mailing address

1635 N 200 E
North Logan, UT 84341-1913
Phone (435) 755-7654

Other names 1

  • Stevens Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1275945701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N 200 E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411913",
            "telephone_number": "435-755-7654",
            "fax_number": "435-753-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N 200 E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411913",
            "telephone_number": "435-755-7654",
            "fax_number": "435-753-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "435-755-7654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7875588-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.