NPIMap

Organization Active NPI

Utah Valley Spinal Health LLC

  • Chiropractor
  • Provo, UT
National Provider Identifier
1346386133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6055471-1202 Issued in UT
Legal business name
UTAH VALLEY SPINAL HEALTH LLC
Practice address
3507 N University Ave
Ste 175
Provo, UT 84604-4478
Phone
(801) 623-7470
Fax
(801) 623-4741
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank Clayton Stafford Jr., DCNPI 1316975543
Title
Doctor Clinic Operator
Phone
(801) 623-4740

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6055471-1202 UT Primary

Addresses

Primary practice location

3507 N University Ave
Ste 175
Provo, UT 84604-4478

Mailing address

3507 N University Ave
Ste 175
Provo, UT 84604-4478
Phone (801) 623-7470

Other names 1

  • Maple Ridge Spinal Pain Center Provo Doing business as

National Provider Directory

National Provider Directory

Locations

3507 N University Ave
Ste 175
Provo, UT 84604
Phone (601) 623-4740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346386133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 N UNIVERSITY AVE",
            "address_2": "STE 175",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044478",
            "telephone_number": "801-623-7470",
            "fax_number": "801-623-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 N UNIVERSITY AVE",
            "address_2": "STE 175",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044478",
            "telephone_number": "801-623-7470",
            "fax_number": "801-623-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH VALLEY SPINAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "DOCTOR CLINIC OPERATOR",
        "authorized_official_telephone_number": "801-623-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6055471-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Ridge Spinal Pain Center Provo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.