Organization Active NPI

Dynamic Health Care of Utah LLC

Doing business as Lowry Health & Wellness

  • Chiropractor
  • Pleasant Grove, UT
National Provider Identifier
1477746485
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5017692-1202 Issued in UT
Legal business name
DYNAMIC HEALTH CARE OF UTAH LLC
Doing business as
Lowry Health & Wellness
Practice address
559 W State Rd
Pleasant Grove, UT 84062-2111
Phone
(801) 756-3888
Fax
(801) 471-2777
NPI assigned
Aug 22, 2007
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Bruce R Lowry, D.C.NPI 1891832473
Title
Owner
Phone
(801) 756-3888

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 5017692-1202 UT Primary

Addresses

Primary practice location

559 W State Rd
Pleasant Grove, UT 84062-2111

Mailing address

559 W State Rd
Pleasant Grove, UT 84062-2111
Phone (801) 756-3888

Other names 1

  • Lowry Health & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150629002457 UT Part B Supplier - Clinic/Group Practice 7810209111 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasant Grove, UT

National Provider Directory

National Provider Directory

Locations

420 W Main St
American Fork, UT 84003
Phone (801) 756-3888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1477746485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W STATE RD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622111",
            "telephone_number": "801-756-3888",
            "fax_number": "801-471-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W STATE RD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622111",
            "telephone_number": "801-756-3888",
            "fax_number": "801-471-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH CARE OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-756-3888",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5017692-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowry Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.