NPIMap

Individual provider Active NPI

Matthew Bryan Hull, D.C.

  • Chiropractor
  • Clearfield, UT
National Provider Identifier
1457542904
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6688518-1202 Issued in UT
Practice address
1424 Legend Hills Dr
Suite 100
Clearfield, UT 84015-1596
Phone
(801) 774-6602
Fax
(801) 614-1210
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6688518-1202 UT Primary

Addresses

Primary practice location

1424 Legend Hills Dr
Suite 100
Clearfield, UT 84015-1596

Mailing address

1424 Legend Hills Dr
Suite 100
Clearfield, UT 84015-1596
Phone (801) 774-6602

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

LicenseStateTypeSpecialty
6688518-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Park Chiropractic Clinic PLLC Chiropractor Past Accepting new patients
Norman Chiropractic, Inc Chiropractor Past Accepting new patients

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1457542904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 LEGEND HILLS DR",
            "address_2": "SUITE 100",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151596",
            "telephone_number": "801-774-6602",
            "fax_number": "801-614-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 LEGEND HILLS DR",
            "address_2": "SUITE 100",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151596",
            "telephone_number": "801-774-6602",
            "fax_number": "801-614-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "MATTHEW",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6688518-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

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

Verify at the official NPI Registry.