NPIMap

Organization Active NPI

Neck and Back Relief

  • Chiropractor
  • Riverton, UT
National Provider Identifier
1548539554
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5072634-1202 Issued in UT
Legal business name
NECK AND BACK RELIEF
Practice address
12600 S. 4013 W.
Suite E
Riverton, UT 84096
Phone
(801) 878-3645
Fax
(801) 878-3647
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. John Joseph Colarusso, DC
Title
Owner/Ceo
Phone
(801) 878-3645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5072634-1202 UT Primary

Addresses

Primary practice location

12600 S. 4013 W.
Suite E
Riverton, UT 84096

Mailing address

12600 S. 4013 W.
Suite E
Riverton, UT 84096
Phone (801) 878-3645

Other identifiers 1

IdentifierTypeStateIssuer
5072634-1202OtherUTUTAH LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1548539554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 S. 4013 W.",
            "address_2": "SUITE E",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84096",
            "telephone_number": "801-878-3645",
            "fax_number": "801-878-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 S. 4013 W.",
            "address_2": "SUITE E",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84096",
            "telephone_number": "801-878-3645",
            "fax_number": "801-878-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK AND BACK RELIEF",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "COLARUSSO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "801-878-3645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5072634-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH LICENSE",
            "identifier": "5072634-1202",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.