Active NPI
Steven D Fisher, D.C., P.C.
- Chiropractor
- Logan, UT
National Provider Identifier
1497922835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 52876451202
- Practice address
- 965 S 100 W
Ste 105
Logan, UT 84321-6062 - Phone
- (435) 752-5522
- Fax
- (435) 752-3075
- NPI assigned
- May 14, 2008
- 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 | 52876451202 | UT | Primary |
Addresses
Primary practice location
965 S 100 W
Ste 105
Logan, UT 84321-6062
Mailing address
965 S 100 W
Ste 105
Logan, UT 84321-6062
Phone (435) 752-5522
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 |
|---|---|---|---|
| 52876451202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMD Ventures LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Sandy, UT
- NPI 1669849410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1497922835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 S 100 W",
"address_2": "STE 105",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216062",
"telephone_number": "435-752-5522",
"fax_number": "435-752-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 S 100 W",
"address_2": "STE 105",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216062",
"telephone_number": "435-752-5522",
"fax_number": "435-752-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "STEVEN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "D.C., P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "52876451202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.