Active NPI
Lance M Tilley, DC
- Chiropractor
- Ogden, UT
National Provider Identifier
1356417612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 364218-1202
- Practice address
- 859 Washington Blvd Ste 1
Ogden, UT 84404-4972 - Phone
- (801) 621-6155
- Fax
- (801) 621-6158
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 364218-1202 | UT | Primary |
Addresses
Primary practice location
859 Washington Blvd Ste 1
Ogden, UT 84404-4972
Mailing address
859 Washington Blvd Ste 1
Ogden, UT 84404-4972
Phone (801) 621-6155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1356417612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 WASHINGTON BLVD STE 1",
"city": "OGDEN",
"state": "UT",
"postal_code": "844044972",
"telephone_number": "801-621-6155",
"fax_number": "801-621-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 WASHINGTON BLVD STE 1",
"city": "OGDEN",
"state": "UT",
"postal_code": "844044972",
"telephone_number": "801-621-6155",
"fax_number": "801-621-6158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLEY",
"first_name": "LANCE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "364218-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.