Active NPI
Walter Nelson, D.C.,P.C.
- Chiropractor
- Vernal, UT
National Provider Identifier
1477614709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 149169-1202
- Practice address
- 285 E 100 S
Vernal, UT 84078-2636 - Phone
- (435) 789-4483
- Fax
- (435) 789-4488
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 149169-1202 | UT | Primary |
Addresses
Primary practice location
285 E 100 S
Vernal, UT 84078-2636
Mailing address
285 E 100 S
Vernal, UT 84078-2636
Phone (435) 789-4483
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870496123 | Other | UT | CHICAGO LABORERS HEALTH |
| 870496123 001 | Other | UT | CIGNA |
| 870496123 B96840 | Other | UT | BLUE CROSS BLU SHIELD UT |
| 870496123 | Other | UT | STANDARD LIFE |
| 35281 | Other | UT | DMBA |
| 870496123 | Other | UT | BANKERS LIFE |
| 870496123 | Other | UT | LIBERTY MUTUIAL |
| 107000307101 | Other | UT | SELECT CARE |
| 870496123 | Other | UT | MAIL HANDELERS |
| 870496123 | Other | UT | PRINCIPAL LIFE |
| 870496123 | Other | UT | GREAT WEST |
| 870496123 | Other | UT | CCNM |
| UT9999 | Other | UT | MUTUAL OF OMAHA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1477614709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 E 100 S",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782636",
"telephone_number": "435-789-4483",
"fax_number": "435-789-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 E 100 S",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782636",
"telephone_number": "435-789-4483",
"fax_number": "435-789-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "WALTER",
"name_prefix": "Dr.",
"credential": "D.C.,P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "149169-1202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHICAGO LABORERS HEALTH",
"identifier": "870496123",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "870496123 001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLU SHIELD UT",
"identifier": "870496123 B96840",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STANDARD LIFE",
"identifier": "870496123",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "35281",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BANKERS LIFE",
"identifier": "870496123",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIBERTY MUTUIAL",
"identifier": "870496123",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT CARE",
"identifier": "107000307101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIL HANDELERS",
"identifier": "870496123",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRINCIPAL LIFE",
"identifier": "870496123",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "870496123",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCNM",
"identifier": "870496123",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MUTUAL OF OMAHA",
"identifier": "UT9999",
"state": "UT"
}
],
"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 Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.