Active NPI
Brian H. Ewell, D.C.,P.C.
- Chiropractor
- Taylorsville, UT
National Provider Identifier
1457760670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 344-6021202
- Legal business name
- BRIAN H. EWELL, D.C.,P.C.
- Practice address
- 2964 W 4700 S
Suite 102
Taylorsville, UT 84129-2557 - Phone
- (801) 966-9100
- NPI assigned
- Aug 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Ewell, D.C.
- Title
- President/Chiropractic Physician
- Phone
- (801) 966-9100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 344-6021202 | UT | Primary |
Addresses
Primary practice location
2964 W 4700 S
Suite 102
Taylorsville, UT 84129-2557
Mailing address
2964 W 4700 S
Suite 102
Taylorsville, UT 84129-2557
Phone (801) 966-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140820000252 | UT | Part B Supplier - Clinic/Group Practice | 3870711682 |
Receives reassigned benefits from 1 practitioner Practice locations: Taylorsville, UT |
National Provider Directory
National Provider Directory- Tax ID family
- Brian H Ewell DC PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Salt Lake City, UT
- NPI 1487928271
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407888000000",
"number": "1457760670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2964 W 4700 S",
"address_2": "SUITE 102",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841292557",
"telephone_number": "801-966-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2964 W 4700 S",
"address_2": "SUITE 102",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841292557",
"telephone_number": "801-966-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN H. EWELL, D.C.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-13",
"last_updated": "2014-08-13",
"status": "A",
"authorized_official_last_name": "EWELL",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT/CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "801-966-9100",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "UT",
"license": "344-6021202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.