James Lawrence Misustin, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

320260-1202 Issued in UT

Practice address

1415 N 400 E Ste a
Logan, UT 84341-7539

Phone

(435) 753-2840

Fax

(435) 787-9422

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Misustin Chiropractic PCGroup PAC ID 4789768656, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Misustin Chiropractic PC

  • Sports Physician Chiropractor
  • Logan, UT
  • NPI 1801070628

  Sports Physician, UT

  Medicare reassignment Care Compare group NPD Authorized official
• Northern Valley Family Medicine

  • Family Nurse Practitioner
  • Logan, UT
  • NPI 1285430207
  NPD

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427115682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N 400 E STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417539",
            "telephone_number": "435-753-2840",
            "fax_number": "435-787-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N 400 E STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417539",
            "telephone_number": "435-753-2840",
            "fax_number": "435-787-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISUSTIN",
        "first_name": "JAMES",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "320260-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Anne Miller, RN
• Cassie Milligan, FNP
• Mind, Body, Soul Chiropractic
• Kyle D Miskin
• Misustin Chiropractic PC
• Karlie Mitchell
• Tim S. Mitchell, PH.D.
• Modern Care
• Monique Frazier, PH.D., P.C.
• Monson Surgical Centers LLC

• All providers in Logan, UT
• Sports Physician Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.