Organization Active NPI

Nielson Chiropractic Center Inc

  • Point of Service
  • Midway, UT
National Provider Identifier
1326229816
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
363980-1202 Issued in UT
Legal business name
NIELSON CHIROPRACTIC CENTER INC
Practice address
380 E Main St
Suite B-102
Midway, UT 84049-6801
Phone
(435) 654-5008
Fax
(435) 654-5328
NPI assigned
Nov 26, 2007
Last updated
Oct 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Dr. Leif Erik Nielson, DCNPI 1437269743
Title
President
Phone
(435) 654-5008

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
Point of Service 305S00000X 363980-1202 UT Primary

Addresses

Primary practice location

380 E Main St
Suite B-102
Midway, UT 84049-6801

Mailing address

380 E Main St
Suite B-102
Midway, UT 84049-6801
Phone (435) 654-5008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050114000809 UT Part B Supplier - Clinic/Group Practice 3971552068 Receives reassigned benefits from 1 practitioner
Practice locations: Midway, UT

National Provider Directory

National Provider Directory

Locations

380 E Main St
Ste 102
Midway, UT 84049
Phone (435) 654-5008

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": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1326229816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E MAIN ST",
            "address_2": "SUITE B-102",
            "city": "MIDWAY",
            "state": "UT",
            "postal_code": "840496801",
            "telephone_number": "435-654-5008",
            "fax_number": "435-654-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E MAIN ST",
            "address_2": "SUITE B-102",
            "city": "MIDWAY",
            "state": "UT",
            "postal_code": "840496801",
            "telephone_number": "435-654-5008",
            "fax_number": "435-654-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIELSON CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "LEIF",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-654-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "UT",
            "license": "363980-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midway, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.