Individual provider Active NPI

Brandon Dean Robb, D.C.

  • Chiropractor
  • Layton, UT
National Provider Identifier
1629383989
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7722740-1202 Issued in UT
Practice address
116 N Adamswood Rd Ste 1
Layton, UT 84040-4004
Phone
(801) 574-6752
NPI assigned
Aug 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7722740-1202 UT Primary
Sports Physician Chiropractor 111NS0005X 7722740-1202 UT

Addresses

Primary practice location

116 N Adamswood Rd Ste 1
Layton, UT 84040-4004

Mailing address

116 N Adamswood Rd Ste 1
Layton, UT 84040-4004
Phone (801) 574-6752

Other identifiers 1

IdentifierTypeStateIssuer
000000000030965OtherUTREGENCE OAID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000533 UT Practitioner - Chiropractic 2860673233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 N Adamswood Rd
Suite 1
Layton, UT 84040-4004
Phone (801) 547-9974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7722740-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daedalus Health Services Chiropractor CurrentSince Nov 3, 2010 Accepting new patients
Stayfitwellness Clinic Chiropractor PastSince Mar 8, 2017 Accepting new patients
Bowden Chiropractic Clinic, Inc. Chiropractor Past Accepting new patients

Locations

116 N Adamswood Rd
#1
Layton, UT 84040
Phone (801) 547-9974

Organizations & group practices 3

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1629383989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N ADAMSWOOD RD STE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840404004",
            "telephone_number": "801-574-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N ADAMSWOOD RD STE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840404004",
            "telephone_number": "801-574-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "BRANDON",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7722740-1202",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "7722740-1202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE OAID",
            "identifier": "000000000030965",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

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