Mount Logan Chiropractic Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

4788778-1202 Issued in UT

Legal business name

MOUNT LOGAN CHIROPRACTIC INC

Practice address

267 N Spring Creek Pkwy
Providence, UT 84332-9775

Phone

(435) 792-9400

Fax

(435) 792-4800

NPI assigned

Feb 9, 2012

Last updated

Mar 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Scott Garvert, DC.NPI 1063579126

Title

Owner/Chiropractor

Phone

(435) 792-9400

Specialties & licenses 1

Addresses

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.

• Steven Scott Garvert, D.C.

  • Chiropractor
  • Providence, UT
  • NPI 1063579126
  NPD Authorized official

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1740553510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N SPRING CREEK PKWY",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329775",
            "telephone_number": "435-792-9400",
            "fax_number": "435-792-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 N SPRING CREEK PKWY",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329775",
            "telephone_number": "435-792-9400",
            "fax_number": "435-792-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT LOGAN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "GARVERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "435-792-9400",
        "authorized_official_credential": "DC."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "UT",
            "license": "4788778-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Murdock Family Wellness, Inc (Murdock Family Chiropractic)
• Brett Cameron Murdock, DC
• My Hearing Centers, LLC

• Exclusive Provider Organization in Providence, UT
• Providers in Providence, UT by specialty
• Exclusive Provider Organization in Utah

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