Active NPI
Hayes Chiropractic LLC
- Chiropractor
- Alpine, UT
National Provider Identifier
1285740399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3758161202
- Legal business name
- HAYES CHIROPRACTIC LLC
- Practice address
- 12 Red Pine Dr
Alpine, UT 84004-1557 - Phone
- (801) 763-5991
- NPI assigned
- Aug 22, 2006
- Last updated
- Sep 9, 2011
- 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. Randall William Hayes, DC
- Title
- President
- Phone
- (801) 763-5991
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 | 3758161202 | UT | Primary |
Addresses
Primary practice location
12 Red Pine Dr
Alpine, UT 84004-1557
Mailing address
12 Red Pine Dr
Alpine, UT 84004-1557
Phone (801) 763-5991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528794472001 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12 E Red Pine Dr
Alpine, UT 84004
Phone (801) 763-5991
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.
-
- Chiropractor
- Alpine, UT
- NPI 1467568576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315526400000",
"number": "1285740399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 RED PINE DR",
"city": "ALPINE",
"state": "UT",
"postal_code": "840041557",
"telephone_number": "801-763-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 RED PINE DR",
"city": "ALPINE",
"state": "UT",
"postal_code": "840041557",
"telephone_number": "801-763-5991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYES CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2011-09-09",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-763-5991",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "3758161202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528794472001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.