Active NPI
Cody Dale Nix, D.C.
- Chiropractor
- Heber City, UT
National Provider Identifier
1568724136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8709683-1202
- Practice address
- 2 S Main St
Ste. 2E
Heber City, UT 84032-1852 - Phone
- (435) 657-5999
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8709683-1202 | UT | Primary |
| Chiropractor | 111N00000X | CHIA-1503 | ID |
Addresses
Primary practice location
2 S Main St
Ste. 2E
Heber City, UT 84032-1852
Mailing address
2 S Main St
Ste. 2E
Heber City, UT 84032-1852
Phone (435) 657-5999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1503 | ID | MD | Chiropractor |
| 8709683-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salmon River Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Salmon, ID
- NPI 1225068059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1568724136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 S MAIN ST",
"address_2": "STE. 2E",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840321852",
"telephone_number": "435-657-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 S MAIN ST",
"address_2": "STE. 2E",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840321852",
"telephone_number": "435-657-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "CODY",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "8709683-1202",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1503",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Heber City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.