Health Source of Tooele Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

355071202 Issued in UT

Legal business name

HEALTH SOURCE OF TOOELE INC

Practice address

352 N Main St
Tooele, UT 84074-1657

Phone

(435) 882-7200

Fax

(435) 882-1211

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Devron Levi Brown, D.C.

Title

Doctor of Chiropractic

Phone

(435) 882-7200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1669636817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741657",
            "telephone_number": "435-882-7200",
            "fax_number": "435-882-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741657",
            "telephone_number": "435-882-7200",
            "fax_number": "435-882-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE OF TOOELE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEVRON",
        "authorized_official_middle_name": "LEVI",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "435-882-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "355071202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Tooele, UT
• Providers in Tooele, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.