Individual provider Active NPI

Don Milton Stevens, D C.

  • Chiropractor
  • Logan, UT
National Provider Identifier
1699976654
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
333250-1202 Issued in UT
Practice address
1300 N 200 E Ste 110
Logan, UT 84341-1866
Phone
(435) 755-7654
Fax
(435) 753-7654
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 333250-1202 UT Primary

Addresses

Primary practice location

1300 N 200 E Ste 110
Logan, UT 84341-1866

Mailing address

372 Spring Creek Rd
Providence, UT 84332-9432
Phone (435) 764-8976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
333250-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Drew Tribett, D.C. PC Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1699976654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 SPRING CREEK RD",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329432",
            "telephone_number": "435-764-8976",
            "fax_number": "435-753-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 200 E STE 110",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411866",
            "telephone_number": "435-755-7654",
            "fax_number": "435-753-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DON",
        "middle_name": "MILTON",
        "credential": "D C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "333250-1202",
            "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 7, 2007; 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.