Chiropractic Supply Network

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3346421202 Issued in UT

Legal business name

CHIROPRACTIC SUPPLY NETWORK

Practice address

96 N Main St
Ste 103
Cedar City, UT 84720-3055

Phone

(435) 867-8986

Fax

(435) 867-6233

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Blaine Alan Ford, DC

Title

President

Phone

(435) 867-8986

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1386914737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 N MAIN ST",
            "address_2": "STE103",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203055",
            "telephone_number": "435-867-8986",
            "fax_number": "435-867-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 N MAIN ST",
            "address_2": "STE 103",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203055",
            "telephone_number": "435-867-8986",
            "fax_number": "435-867-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SUPPLY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-867-8986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3346421202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaron Maclinn Chesley, SLP
• Wager Chesley
• Amelia Chesnut
• Roger Devin Chestnut II, MMP
• Children'S Dental of Cedar City
• Avery Choate
• Justyn Michael Chris, ACMHC, SUDC
• Cade Norman Christensen
• Ryan Eslie Christensen, RBT
• Jason D Christian, P.A.

• All providers in Cedar City, UT
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.