Organization Active NPI

Ft Nerve Group PLLC

  • Chiropractor
  • American Fork, UT
National Provider Identifier
1346977352
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FT NERVE GROUP PLLC
Practice address
476 N 900 W Ste B
American Fork, UT 84003-5201
Phone
(801) 973-1373
NPI assigned
Aug 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Perdro Arliss Fernandez
Title
Owner
Phone
(201) 887-9610

Specialties & licenses 1

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

Addresses

Primary practice location

476 N 900 W Ste B
American Fork, UT 84003-5201

Mailing address

770 E Main St Ste 356
Lehi, UT 84043-2293
Phone (801) 973-1373

Other names 1

  • The Nerve Chiropractic and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

476 N 900 W
Ste B
American Fork, UT 84003
Phone (801) 973-1373

770 E Main St
Ste 356
Lehi, UT 84043

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1346977352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E MAIN ST STE 356",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432293",
            "telephone_number": "801-973-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 N 900 W STE B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840035201",
            "telephone_number": "801-973-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT NERVE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "PERDRO",
        "authorized_official_middle_name": "ARLISS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-887-9610"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Nerve Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.