Organization Active NPI

Hayes Chiropractic LLC

  • Chiropractor
  • Alpine, UT
National Provider Identifier
1285740399
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3758161202 Issued in UT
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Dr. Randall William Hayes, DCNPI 1467568576
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
528794472001MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001374 UT Part B Supplier - Clinic/Group Practice 6406849397 Receives reassigned benefits from 1 practitioner
Practice locations: Alpine, UT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.