Organization Active NPI

Drew Tribett, D.C. PC

  • Chiropractor
  • Logan, UT
National Provider Identifier
1528225976
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
289256-1202 Issued in UT
Legal business name
DREW TRIBETT, D.C. PC
Practice address
1300 N 200 E
Suite #110
Logan, UT 84341-2398
Phone
(435) 755-7654
Fax
(435) 753-7654
NPI assigned
May 21, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. David Drew Tribett, D.C.
Title
Owner
Phone
(435) 755-7654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 289256-1202 UT Primary

Addresses

Primary practice location

1300 N 200 E
Suite #110
Logan, UT 84341-2398

Mailing address

1300 N 200 E
Suite #110
Logan, UT 84341-2398
Phone (435) 755-7654

Other identifiers 1

IdentifierTypeStateIssuer
530663408001MedicaidUT

Other names 1

  • David Drew Tribett, D.C. Other name

National Provider Directory

National Provider Directory

Locations

1300 N 200 E
Ste 110
Logan, UT 84341
Phone (435) 755-7654

286 N Gateway Dr
Providence, UT 84332
Phone (435) 755-9174

Practitioners & affiliated clinicians

Practitioners 3

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1528225976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 200 E",
            "address_2": "SUITE #110",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412398",
            "telephone_number": "435-755-7654",
            "fax_number": "435-753-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 200 E",
            "address_2": "SUITE #110",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412398",
            "telephone_number": "435-755-7654",
            "fax_number": "435-753-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW TRIBETT, D.C. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "TRIBETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-755-7654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "289256-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530663408001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Drew Tribett, D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 25, 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.

Verify at the official NPI Registry.