Organization Active NPI

Cascade Chiropractic and Accident Rehabilitation LLC

  • Chiropractor
  • Taylorsville, UT
National Provider Identifier
1366632200
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6562898-1202 Issued in UT
Legal business name
CASCADE CHIROPRACTIC AND ACCIDENT REHABILITATION LLC
Practice address
3123 W 5400 S
Taylorsville, UT 84118-2271
Phone
(180) 196-7082
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Brett Wayne Proctor, D.C.NPI 1083818264
Title
Owner
Phone
(801) 967-0825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6562898-1202 UT Primary

Addresses

Primary practice location

3123 W 5400 S
Taylorsville, UT 84118-2271

Mailing address

3123 W 5400 S
Taylorsville, UT 84118-2271
Phone (180) 196-7082

National Provider Directory

National Provider Directory

Locations

3123 W 5400 S
Taylorsville, UT 84129
Phone (801) 967-0825

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1366632200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 W 5400 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841182271",
            "telephone_number": "180-196-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 W 5400 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841182271",
            "telephone_number": "180-196-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE CHIROPRACTIC AND ACCIDENT REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "18019670825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6562898-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.