Bristlecone Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7779072-1202 Issued in UT

Legal business name

BRISTLECONE CHIROPRACTIC PLLC

Practice address

657 W 200 N
Cedar City, UT 84720-2408

Phone

(435) 592-4845

NPI assigned

Mar 8, 2011

Last updated

Mar 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Tyler Petersen, DCNPI 1134439755

Title

Member

Phone

(435) 592-4845

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• James Tyler Petersen, D.C.

  • Chiropractor
  • Cedar City, UT
  • NPI 1134439755
  Authorized official Same address or phone

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1336447804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 W 200 N",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847202408",
            "telephone_number": "435-592-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 W 200 N",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847202408",
            "telephone_number": "435-592-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTLECONE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "435-592-4845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7779072-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "U000073714",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brighter Future Counseling
• Brighter Paths Health, LLC (Brighter Paths Mental Health)
• Gail Tyler Brinkerhoff, M.S.P.T.
• Nadean Brinton, LPN
• Madilyn Briones
• Melodi Brooke
• David M Brooks, MD
• Samantha Brooks
• Morgan Chrystina Brough
• David Warren Brown, M.D.

• Chiropractor in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.