Prohealth Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6366574-1202 Issued in UT

Legal business name

PROHEALTH CHIROPRACTIC, PLLC

Practice address

523 E. Sunland Dr.
Suite C
Saint George, UT 84790-5799

Phone

(435) 628-7040

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Frederic Bentley, D.C.NPI 1144255431

Title

Owner

Phone

(435) 628-7040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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

• Mark Frederic Bentley, D.C.

  • Chiropractor
  • St. George, UT
  • NPI 1144255431
  Medicare reassignment NPD Authorized official
• Justin Kevin Poppe, D.C.

  • Chiropractor
  • St George, UT
  • NPI 1700040292
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1366656241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E. SUNLAND DR.",
            "address_2": "SUITE C",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847905799",
            "telephone_number": "435-628-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E. SUNLAND DR.",
            "address_2": "SUITE C",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847905799",
            "telephone_number": "435-628-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-628-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6366574-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debi Prisbrey, MS, SUDC, ACMHC
• Jaycie Prisbrey
• Tami Prisbrey
• Professional Park Pharmacy Inc
• Professional Park Pharmacy Inc
• Stephan Prokay
• Prominent Behavioral Health
• Kristen Mary Pronenko
• Crystal Anne Psotta
• John Scott Pugh

• Chiropractor in Saint George, UT
• Providers in Saint George, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.