Organization Active NPI

Lonestar Chiropractic Center, LLC

  • Sports Physician Chiropractor
  • Orem, UT
National Provider Identifier
1558412338
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
500911-1202 Issued in UT
Legal business name
LONESTAR CHIROPRACTIC CENTER, LLC
Practice address
309 N State St
Orem, UT 84057-4747
Phone
(801) 434-4555
Fax
(801) 434-8333
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Benjamin Carl Higbee, D.C.NPI 1831257500
Title
President
Phone
(801) 434-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 500911-1202 UT Primary

Addresses

Primary practice location

309 N State St
Orem, UT 84057-4747

Mailing address

309 N State St
Orem, UT 84057-4747
Phone (801) 434-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070124000001 UT Part B Supplier - Clinic/Group Practice 8921009622 Receives reassigned benefits from 2 practitioners
Practice locations: Orem, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1558412338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574747",
            "telephone_number": "801-434-4555",
            "fax_number": "801-434-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574747",
            "telephone_number": "801-434-4555",
            "fax_number": "801-434-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "HIGBEE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-434-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "500911-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.