Organization Active NPI

Michael W Utman

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1295924306
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
838 Issued in AZ
Legal business name
MICHAEL W UTMAN
Practice address
1809 E University Dr
Mesa, AZ 85203-8235
Phone
(480) 833-4655
Fax
(480) 833-0029
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. Michael W. Utman, D.C.
Title
President
Phone
(480) 833-4655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 838 AZ Primary

Addresses

Primary practice location

1809 E University Dr
Mesa, AZ 85203-8235

Mailing address

1809 E University Dr
Mesa, AZ 85203-8235
Phone (480) 833-4655

Other identifiers 1

IdentifierTypeStateIssuer
AZ0935780OtherAZBCBS

Other names 1

  • Kiva Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1295924306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038235",
            "telephone_number": "480-833-4655",
            "fax_number": "480-833-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038235",
            "telephone_number": "480-833-4655",
            "fax_number": "480-833-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W UTMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "UTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-833-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0935780",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiva Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.