Individual provider Active NPI

Ronald L Rosquist, D.C.

  • Orthopedic Chiropractor
  • Sandy, UT
National Provider Identifier
1669471405
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
173704-1202 Issued in UT
Practice address
834 E 9400 S
Suite 57
Sandy, UT 84094-3600
Phone
(801) 571-3333
Fax
(801) 571-4449
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 173704-1202 UT Primary

Addresses

Primary practice location

834 E 9400 S
Suite 57
Sandy, UT 84094-3600

Mailing address

834 E 9400 S
Suite 57
Sandy, UT 84094-3600
Phone (801) 571-3333

Other identifiers 1

IdentifierTypeStateIssuer
870395551005MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000608 UT Practitioner - Chiropractic 3577744382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
173704-1202UTMDOrthopedic Chiropractor

Interoperability endpoints

  • Direct secure messaging: docron@svcp0002.direct.chirotouch.md

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1669471405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 E 9400 S",
            "address_2": "SUITE 57",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943600",
            "telephone_number": "801-571-3333",
            "fax_number": "801-571-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 E 9400 S",
            "address_2": "SUITE 57",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943600",
            "telephone_number": "801-571-3333",
            "fax_number": "801-571-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSQUIST",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "UT",
            "license": "173704-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.