Organization Active NPI

Robinson Chiropractic PC

  • Chiropractor
  • Hurricane, UT
National Provider Identifier
1609290311
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
88923081202 Issued in UT
Legal business name
ROBINSON CHIROPRACTIC PC
Practice address
15 N 200 W
Hurricane, UT 84737-3484
Phone
(435) 635-4688
Fax
(435) 635-4689
NPI assigned
Feb 17, 2014
Last updated
May 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Authorized official

Name
Dr. Derrick S. Robinson, D.C., M.S.NPI 1477976066
Title
President
Phone
(435) 635-4688

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 88923081202 UT Primary

Addresses

Primary practice location

15 N 200 W
Hurricane, UT 84737-3484

Mailing address

15 N 200 W
Hurricane, UT 84737-3484
Phone (435) 635-4688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140529002153 UT Part B Supplier - Clinic/Group Practice 5294958807 Receives reassigned benefits from 1 practitioner
Practice locations: Hurricane, 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, 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": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1609290311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N 200 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373484",
            "telephone_number": "435-635-4688",
            "fax_number": "435-635-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N 200 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373484",
            "telephone_number": "435-635-4688",
            "fax_number": "435-635-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-635-4688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "88923081202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.