Organization Active NPI

Brian H. Ewell, D.C.,P.C.

  • Chiropractor
  • Taylorsville, UT
National Provider Identifier
1457760670
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
344-6021202 Issued in UT
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

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Brian Ewell, D.C.NPI 1760459135
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.