Active NPI
Justin Kevin Poppe, D.C.
- Chiropractor
- St George, UT
National Provider Identifier
1700040292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6996342-1202
- Practice address
- 720 S River Rd Ste C240
St George, UT 84790-2103 - Phone
- (435) 656-2888
- Fax
- (435) 656-8400
- NPI assigned
- Jul 14, 2008
- Last updated
- Apr 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6996342-1202 | UT | Primary |
Addresses
Primary practice location
720 S River Rd Ste C240
St George, UT 84790-2103
Mailing address
2232 S 1300 W
Saint George, UT 84770-7183
Phone (435) 773-3940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 S River Rd
Suite C240
Saint George, UT 84790-2103
Phone (435) 656-2888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sorenson Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Prohealth Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
Locations
720 S River Rd
Ste C240
St George, UT 84790
Phone (435) 275-4015
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Chiropractor
- St George, UT
- NPI 1669616348
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- Chiropractor
- St George, UT
- NPI 1184950081
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- Chiropractor
- St George, UT
- NPI 1366656241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1700040292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 S 1300 W",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847707183",
"telephone_number": "435-773-3940",
"fax_number": "435-674-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 S RIVER RD STE C240",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847902103",
"telephone_number": "435-656-2888",
"fax_number": "435-656-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPE",
"first_name": "JUSTIN",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "6996342-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.