Active NPI
Blaine Alan Ford, DC
- Chiropractor
- Hurricane, UT
National Provider Identifier
1457582694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3346-1202
- Practice address
- 11S Main St
Hurricane, UT 84737-1949 - Phone
- (435) 635-9444
- NPI assigned
- Aug 5, 2009
- Last updated
- Jul 16, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3346-1202 | UT | Primary |
Addresses
Primary practice location
11S Main St
Hurricane, UT 84737-1949
Mailing address
11S Main St
Hurricane, UT 84737-1949
Phone (435) 635-9444
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 |
|---|---|---|---|
| 3346-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1457582694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11S MAIN ST",
"city": "HURRICANE",
"state": "UT",
"postal_code": "847371949",
"telephone_number": "435-635-9444",
"fax_number": "435-635-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11S MAIN ST",
"city": "HURRICANE",
"state": "UT",
"postal_code": "847371949",
"telephone_number": "435-635-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "BLAINE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-05",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "3346-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.