Syracuse Chiropractic and Health Center LC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SYRACUSE CHIROPRACTIC AND HEALTH CENTER LC

Practice address

1842 S 2000 W
Suite 2
Syracuse, UT 84075-9626

Phone

(801) 774-7540

Fax

(801) 774-7542

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Tyler Elmore, DCNPI 1811081771

Title

Chiropractor

Phone

(801) 774-7540

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler R Elmore, DC

  • Chiropractor
  • Syracuse, UT
  • NPI 1811081771
  Medicare reassignment NPD Authorized official
• Jerin H Lake

  • Chiropractor
  • Syracuse, UT
  • NPI 1770459521
  Medicare reassignment NPD
• Nathan Wesley Elmore, DC

  • Nutrition Chiropractor
  • Syracuse, UT
  • NPI 1679799902
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1518154319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 S 2000 W",
            "address_2": "SUITE 2",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759626",
            "telephone_number": "801-774-7540",
            "fax_number": "801-774-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 S 2000 W",
            "address_2": "SUITE 2",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759626",
            "telephone_number": "801-774-7540",
            "fax_number": "801-774-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE CHIROPRACTIC AND HEALTH CENTER LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-774-7540",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528714349001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitnie Sullivan, PHARM D
• Michelle Summerhays, SLP
• Swahn Balanced Health
• Thomas Kevin Swahn, NP-C
• Syracuse Assisted Living Phase I (RainTree Senior Living)
• Syracuse City Corporation
• Syracuse Family & Occupational Medicine PLLC
• Kyle S Taggart, CSW
• Tanner Memorial Clinic
• The Posture Center

• Chiropractor in Syracuse, UT
• Providers in Syracuse, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.