Active NPI
Stephen Mark Wheeler, DC
- Chiropractor
- South Ogden, UT
National Provider Identifier
1619953254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2903031202
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204574521 | Other | UT | TAX IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2903031202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Solutions Chiropractic LLC | Chiropractor | Current | 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.
-
- Chiropractor
- South Ogden, UT
- NPI 1669415329
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.