Organization Active NPI

Jcnorman, Inc.

  • Chiropractor
  • Logan, UT
National Provider Identifier
1639429848
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272296-1202 Issued in UT
Legal business name
JCNORMAN, INC.
Practice address
1515 N 400 E Ste 106
Logan, UT 84341-7595
Phone
(435) 787-1787
Fax
(435) 787-1797
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Dr. Jeffery Glenn Norman, D.C.
Title
Owner/Chiropractor
Phone
(435) 787-1787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 272296-1202 UT Primary

Addresses

Primary practice location

1515 N 400 E Ste 106
Logan, UT 84341-7595

Mailing address

1515 N 400 E Ste 106
Logan, UT 84341-7595
Phone (435) 787-1787

National Provider Directory

National Provider Directory

Locations

1515 N 400 E
Ste 106
North Logan, UT 84341
Phone (435) 500-5862

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1639429848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N 400 E STE 106",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417595",
            "telephone_number": "435-787-1787",
            "fax_number": "435-787-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N 400 E STE 106",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417595",
            "telephone_number": "435-787-1787",
            "fax_number": "435-787-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCNORMAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "435-787-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "272296-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.