Active NPI
Ronald Jack Travis Utter, D.C.
- Chiropractor
- Deltona, FL
National Provider Identifier
1366719619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10487
- Practice address
- 2922 Howland Blvd Ste 2
Deltona, FL 32725-2900 - Phone
- (813) 900-7246
- Fax
- (813) 409-2180
- NPI assigned
- Nov 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | CH 10487 | FL | Primary |
Addresses
Primary practice location
2922 Howland Blvd Ste 2
Deltona, FL 32725-2900
Mailing address
448 Brown Pelican Dr.
Daytona Beach, FL 32119
Phone (407) 509-1414
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10487 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Injury Physicians of Town & Country Inc | Past | Accepting new patients | |
| Get Inline, Inc | Past | Accepting new patients | |
| No Utter Way Inc | Chiropractor | Past | Accepting new patients |
| Preferred Injury Physicians of Orange City | Chiropractor | Past | Accepting new patients |
| Preferred Injury Physicians of East Orlando Inc | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Chiropractor
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- NPI 1306366588
-
- Orthopedic Chiropractor
- Orlando, FL
- NPI 1477250256
-
- Rehabilitation Chiropractor
- Orlando, FL
- NPI 1780151662
-
- Clinic/Center
- Tampa, FL
- NPI 1568914935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1366719619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 BROWN PELICAN DR.",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32119",
"telephone_number": "407-509-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 HOWLAND BLVD STE 2",
"city": "DELTONA",
"state": "FL",
"postal_code": "327252900",
"telephone_number": "813-900-7246",
"fax_number": "813-409-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTTER",
"first_name": "RONALD",
"middle_name": "JACK TRAVIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-30",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.