NPIMap

Organization Active NPI

Elevated Health and Wellness LLC

  • Chiropractor
  • Layton, UT
National Provider Identifier
1700161577
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8062892-12020 Issued in UT
Legal business name
ELEVATED HEALTH AND WELLNESS LLC
Practice address
195 E Gentile St Ste 7
Layton, UT 84041-3754
Phone
(801) 643-2020
Fax
(801) 546-0966
NPI assigned
Oct 12, 2011
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Brad Lamar Miller, D.C.NPI 1609157965
Title
Owner/Chiropractor
Phone
(801) 643-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8062892-12020 UT Primary

Addresses

Primary practice location

195 E Gentile St Ste 7
Layton, UT 84041-3754

Mailing address

195 E Gentile St Ste 7
Layton, UT 84041-3754
Phone (801) 643-2020

Other identifiers 2

IdentifierTypeStateIssuer
U000075052OtherUTELEVATED HEALTH AND WELLNESS PTAN
U000075051OtherUTBRAD MILLER PTAN

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1700161577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E GENTILE ST STE 7",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413754",
            "telephone_number": "801-643-2020",
            "fax_number": "801-546-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E GENTILE ST STE 7",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413754",
            "telephone_number": "801-643-2020",
            "fax_number": "801-546-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "801-643-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8062892-12020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELEVATED HEALTH AND WELLNESS PTAN",
            "identifier": "U000075052",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAD MILLER PTAN",
            "identifier": "U000075051",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.