NPIMap

Organization Active NPI

Cornerstone Chiropractic Inc.

  • Chiropractor
  • Riverdale, UT
National Provider Identifier
1548328552
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
345031-1202 Issued in UT
Legal business name
CORNERSTONE CHIROPRACTIC INC.
Practice address
4013 Pacific Ave
Riverdale, UT 84405-1511
Phone
(801) 394-9450
Fax
(801) 866-0033
NPI assigned
Dec 4, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Todd Thomas Doxey, D.C.NPI 1386714459
Title
Direct Owner
Phone
(801) 394-9450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 345031-1202 UT Primary

Addresses

Primary practice location

4013 Pacific Ave
Riverdale, UT 84405-1511

Mailing address

PO Box 3243
Ogden, UT 84409-1243
Phone (801) 394-9450

Other identifiers 6

IdentifierTypeStateIssuer
528239429001MedicaidUT
528239429OtherUTDMBA
48453OtherUTPEHP
870395551DO4OtherUTEMIA
QM0000026401OtherUTALTIUS
52823942977001OtherUTBCBS

National Provider Directory

National Provider Directory

Locations

4013 Pacific Ave
Riverdale, UT 84405
Phone (801) 394-9450

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1548328552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3243",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844091243",
            "telephone_number": "801-394-9450",
            "fax_number": "801-866-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 PACIFIC AVE",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844051511",
            "telephone_number": "801-394-9450",
            "fax_number": "801-866-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "DOXEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "801-394-9450",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "345031-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528239429001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "528239429",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "48453",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA",
            "identifier": "870395551DO4",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000026401",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52823942977001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.