Individual provider Active NPI

Richard Matthew Winn, DC

  • Chiropractor
  • West Jordan, UT
National Provider Identifier
1437994845
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13754571-1202 Issued in UT
Practice address
1573 W 9000 S
West Jordan, UT 84088-9219
Phone
(801) 541-2902
NPI assigned
Jun 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13754571-1202 UT Primary

Addresses

Primary practice location

1573 W 9000 S
West Jordan, UT 84088-9219

Mailing address

1573 W 9000 S
West Jordan, UT 84088-9219
Phone (801) 541-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001003146 UT Practitioner - Chiropractic 9830620814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13754571-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
R&M Chiro LLC Chiropractor CurrentSince Aug 26, 2024 Accepting new patients
Kinetic Health PLLC Chiropractor Current Accepting new patients

Locations

1573 W 9000 S
West Jordan, UT 84088
Phone (801) 541-2902

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1437994845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889219",
            "telephone_number": "801-541-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889219",
            "telephone_number": "801-541-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "RICHARD",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "13754571-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.