Derrick Lee Stanbridge, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

48041471202 Issued in UT

Practice address

5974 Fashion Point Dr
Suite 110
South Ogden, UT 84403-4699

Phone

(801) 475-6800

Fax

(801) 475-6802

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health for Life Inc

  • Chiropractor
  • South Ogden, UT
  • NPI 1497993315
  Medicare reassignment NPD Authorized official
• Matt Wood Chiropractic, Inc

  • Chiropractor
  • South Ogden, UT
  • NPI 1588996466
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1326024977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5974 FASHION POINT DR",
            "address_2": "SUITE 110",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-475-6800",
            "fax_number": "801-475-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 FASHION POINT DR",
            "address_2": "SUITE 110",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-475-6800",
            "fax_number": "801-475-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANBRIDGE",
        "first_name": "DERRICK",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "48041471202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Reese Spencer, PT
• Fereti Spitzenberg Jr.
• Jayne Deane Sprafke, LCSW
• St. John Therapeutic Services Inc.
• Karissa Stadtfeld, RBT
• Robert F Stauffer, M.D.
• David Michael Steed, PHARMD
• Justin Stevenson, DC
• Cynthia L. Steward, RN
• Kirsten Straniere, CCC-SLP

• Chiropractor in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.