Organization Active NPI

Chirocenter Inc

  • Chiropractor
  • Vernal, UT
National Provider Identifier
1598936544
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5322825-1202 Issued in UT
Legal business name
CHIROCENTER INC
Practice address
1781 W 1000 S
Vernal, UT 84078
Phone
(435) 781-6035
Fax
(435) 781-6040
NPI assigned
Mar 18, 2008
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Dr. Travis Ray Allan, DCNPI 1225082118
Title
President
Phone
(435) 781-6035

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
Chiropractor 111N00000X 5322825-1202 UT Primary

Addresses

Primary practice location

1781 W 1000 S
Vernal, UT 84078

Mailing address

PO Box 955
Vernal, UT 84078-0955
Phone (435) 781-6035

Other identifiers 1

IdentifierTypeStateIssuer
D6110MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031202000218 UT Part B Supplier - Clinic/Group Practice 5890690960 Receives reassigned benefits from 1 practitioner
Practice locations: Vernal, UT

National Provider Directory

National Provider Directory

Locations

3856 W 5400 S
#120
Taylorsville, UT 84129
Phone (801) 957-9696

1781 W 1000 S
Vernal, UT 84078
Phone (435) 781-6035

266 W 100 N
Ste 5
Vernal, UT 84078
Phone (435) 781-6035

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1598936544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840780955",
            "telephone_number": "435-781-6035",
            "fax_number": "435-781-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 W 1000 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "84078",
            "telephone_number": "435-781-6035",
            "fax_number": "435-781-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-781-6035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5322825-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6110",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.