Individual provider Active NPI

Raymond Scott Binkerd, D.C.

  • Sports Physician Chiropractor
  • Murray, UT
National Provider Identifier
1366509168
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4045 Issued in IA
Practice address
431 E 5600 S
Murray, UT 84107-6261
Phone
(801) 262-2651
Fax
(801) 262-7038
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 174276-1202 UT
Sports Physician Chiropractor 111NS0005X 4045 IA Primary

Addresses

Primary practice location

431 E 5600 S
Murray, UT 84107-6261

Mailing address

212 E Aspen Ave
Fruita, CO 81521-2206
Phone (970) 639-9730

Other identifiers 2

IdentifierTypeStateIssuer
CHR.0008515OtherCOCOLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS
1742761202OtherUTUTAH STATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
4045IAMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1366509168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E ASPEN AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212206",
            "telephone_number": "970-639-9730",
            "fax_number": "970-639-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E 5600 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076261",
            "telephone_number": "801-262-2651",
            "fax_number": "801-262-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINKERD",
        "first_name": "RAYMOND",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "174276-1202",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "4045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS",
            "identifier": "CHR.0008515",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE LICENSE",
            "identifier": "1742761202",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.