Active NPI
Jace H Ferguson, D.C.
- Rehabilitation Chiropractor
- Hyde Park, UT
National Provider Identifier
1427269166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 5242118-1202
- Practice address
- 3935 N 75 W
Hyde Park, UT 84318-4111 - Phone
- (435) 563-6363
- Fax
- (435) 563-0293
- NPI assigned
- May 24, 2007
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 5242118-1202 | UT | Primary |
Addresses
Primary practice location
3935 N 75 W
Hyde Park, UT 84318-4111
Mailing address
3935 N 75 W
Hyde Park, UT 84318-4111
Phone (435) 563-6363
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 |
|---|---|---|---|
| 5242118-1202 | UT | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427269166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3935 N 75 W",
"city": "HYDE PARK",
"state": "UT",
"postal_code": "843184111",
"telephone_number": "435-563-6363",
"fax_number": "435-563-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3935 N 75 W",
"city": "HYDE PARK",
"state": "UT",
"postal_code": "843184111",
"telephone_number": "435-563-6363",
"fax_number": "435-563-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "JACE",
"middle_name": "H",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "UT",
"license": "5242118-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, UT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.