Active NPI
Evan J Lefevre,, D.C., P.C.
- Chiropractor
- Logan, UT
National Provider Identifier
1386725190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 97-346266-1202
- Practice address
- 1415 N 400 E
Suite a
Logan, UT 84341-7539 - Phone
- (435) 752-4747
- Fax
- (435) 787-9422
- NPI assigned
- Oct 18, 2006
- Last updated
- Apr 17, 2015
- 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 | 97-346266-1202 | UT | Primary |
Addresses
Primary practice location
1415 N 400 E
Suite a
Logan, UT 84341-7539
Mailing address
1415 N 400 E
Suite a
Logan, UT 84341-7539
Phone (435) 752-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 N 400
Suite a
Logan, UT 84341-7539
Phone (435) 753-2840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97-346266-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Valley Family Medicine | Current | Accepting new patients |
Locations
1415 N 400 E
#A
Logan, UT 84341
Phone (435) 752-4747
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1801070628
-
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- Logan, UT
- NPI 1285430207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1386725190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 N 400 E",
"address_2": "SUITE A",
"city": "LOGAN",
"state": "UT",
"postal_code": "843417539",
"telephone_number": "435-752-4747",
"fax_number": "435-787-9422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 N 400 E",
"address_2": "SUITE A",
"city": "LOGAN",
"state": "UT",
"postal_code": "843417539",
"telephone_number": "435-752-4747",
"fax_number": "435-787-9422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEVRE,",
"first_name": "EVAN",
"middle_name": "J",
"credential": "D.C., P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "97-346266-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.