Organization Active NPI

The Chiropractic Avenue

  • Neurology Chiropractor
  • St George, UT
National Provider Identifier
1699079723
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
7443716-1202 Issued in UT
Legal business name
THE CHIROPRACTIC AVENUE
Practice address
169 W 2710 South Cir
Suite 204
St George, UT 84790-7201
Phone
(435) 688-2292
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Brent David Noorda, D.C.NPI 1346560299
Title
Managing Partner
Phone
(435) 688-2292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 7443716-1202 UT Primary

Addresses

Primary practice location

169 W 2710 South Cir
Suite 204
St George, UT 84790-7201

Mailing address

169 W 2710 South Cir
Suite 204
St George, UT 84790-7201
Phone (435) 688-2292

Other names 1

  • Balanced Spinal Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1699079723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR",
            "address_2": "SUITE 204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907201",
            "telephone_number": "435-688-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR",
            "address_2": "SUITE 204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907201",
            "telephone_number": "435-688-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTIC AVENUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "NOORDA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "435-688-2292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "UT",
            "license": "7443716-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Spinal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.