Individual provider Active NPI

Stephen Mark Wheeler, DC

  • Chiropractor
  • South Ogden, UT
National Provider Identifier
1619953254
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2903031202 Issued in UT
Practice address
5974 Fashion Point Dr
Suite 110
South Ogden, UT 84403-4699
Phone
(801) 621-1667
Fax
(801) 475-6802
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2903031202 UT Primary

Addresses

Primary practice location

5974 Fashion Point Dr
Suite 110
South Ogden, UT 84403-4699

Mailing address

5974 Fashion Point Dr
Suite 110
South Ogden, UT 84403-4699
Phone (801) 621-1667

Other identifiers 1

IdentifierTypeStateIssuer
204574521OtherUTTAX IDENTIFICATION NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000287 UT Practitioner - Chiropractic 5193777472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Solutions Chiropractic LLCGroup PAC ID 9739185224, 2 clinicians

Practice addresses (Care Compare)

1893 E Skyline Dr
Suite 204
South Ogden, UT 84403-5228
Phone (801) 621-1667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2903031202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions Chiropractic LLC Chiropractor CurrentSince Jul 25, 2006 Accepting new patients

Locations

5974 Fashion Point Dr
Ste 110
South Ogden, UT 84403
Phone (801) 386-4896

1893 E Skyline Dr
Ste 204
South Ogden, UT 84403
Phone (801) 475-6800

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1619953254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5974 FASHION POINT DR",
            "address_2": "SUITE 110",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-621-1667",
            "fax_number": "801-475-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 FASHION POINT DR",
            "address_2": "SUITE 110",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-621-1667",
            "fax_number": "801-475-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "2903031202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "204574521",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.