Individual provider Active NPI

John Devin Southam, D.C.

  • Chiropractor
  • Vernal, UT
National Provider Identifier
1447299557
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
97-334970-1202 Issued in UT
Practice address
975 W Highway 40
Vernal, UT 84078-2400
Phone
(435) 789-0704
Fax
(435) 789-0233
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 97-334970-1202 UT Primary

Addresses

Primary practice location

975 W Highway 40
Vernal, UT 84078-2400

Mailing address

54 N 1200 W
Vernal, UT 84078-3341
Phone (435) 789-0606

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
97-334970-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447299557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 N 1200 W",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840783341",
            "telephone_number": "435-789-0606",
            "fax_number": "435-789-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782400",
            "telephone_number": "435-789-0704",
            "fax_number": "435-789-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHAM",
        "first_name": "JOHN",
        "middle_name": "DEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "97-334970-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.