NPIMap

Organization Active NPI

The Dirty Dozen

Doing business as Tremonton Chiropractic Center

  • Primary Care Clinic/Center
  • Tremonton, UT
National Provider Identifier
1548715378
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
9183824-1202 Issued in UT
Legal business name
THE DIRTY DOZEN
Doing business as
Tremonton Chiropractic Center
Practice address
805 W Main St Ste C
Tremonton, UT 84337-2608
Phone
(435) 257-0106
Fax
(435) 257-0106
NPI assigned
Aug 22, 2016
Last updated
Aug 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Dr. Leland Phelps, D.C.
Title
Owner
Phone
(435) 257-0106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 9183824-1202 UT Primary

Addresses

Primary practice location

805 W Main St Ste C
Tremonton, UT 84337-2608

Mailing address

805 W Main St Ste C
Tremonton, UT 84337-2608
Phone (435) 257-0106

Other names 1

  • Tremonton Chiropractic Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Dirty Dozen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1548715378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W MAIN ST STE C",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843372608",
            "telephone_number": "435-257-0106",
            "fax_number": "435-257-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W MAIN ST STE C",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843372608",
            "telephone_number": "435-257-0106",
            "fax_number": "435-257-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIRTY DOZEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "LELAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-257-0106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "9183824-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tremonton Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tremonton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.