Total Body Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TOTAL BODY CHIROPRACTIC CLINIC, INC.

Practice address

185 S Main St
Suite D
Kamas, UT 84036-9597

Phone

(435) 783-2838

Fax

(435) 783-2840

NPI assigned

Mar 24, 2008

Last updated

Mar 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel R Frazier, CMA

Title

Office Manager

Phone

(435) 783-2838

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1568634160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S MAIN ST",
            "address_2": "SUITE D",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369597",
            "telephone_number": "435-783-2838",
            "fax_number": "435-783-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S MAIN ST",
            "address_2": "SUITE D",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369597",
            "telephone_number": "435-783-2838",
            "fax_number": "435-783-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-783-2838",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000056512",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "67337",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "50499451200001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "50499451277001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Kamas, UT
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• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.