Organization Active NPI

Daedalus Health Services

  • Chiropractor
  • Layton, UT
National Provider Identifier
1740597160
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7722740-1202 Issued in UT
Legal business name
DAEDALUS HEALTH SERVICES
Practice address
116 N Adamswood Rd
Suite 1
Layton, UT 84040-4004
Phone
(801) 574-6752
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Dr. Brandon Robb, DCNPI 1629383989
Title
Doctor, Owner
Phone
(801) 574-9752

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7722740-1202 UT Primary

Addresses

Primary practice location

116 N Adamswood Rd
Suite 1
Layton, UT 84040-4004

Mailing address

116 N Adamswood Rd
Suite 1
Layton, UT 84040-4004
Phone (801) 574-6752

Other identifiers 1

IdentifierTypeStateIssuer
1629383989OtherPERSONAL NPI NUMBER

Other names 1

  • Bowden Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110218000430 UT Part B Supplier - Clinic/Group Practice 4385825744 Receives reassigned benefits from 1 practitioner
Practice locations: Layton, UT

National Provider Directory

National Provider Directory

Locations

116 N Adamswood Rd
#1
Layton, UT 84040
Phone (801) 547-9974

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": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1740597160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N ADAMSWOOD RD",
            "address_2": "SUITE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840404004",
            "telephone_number": "801-574-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N ADAMSWOOD RD",
            "address_2": "SUITE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840404004",
            "telephone_number": "801-574-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAEDALUS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "ROBB",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DOCTOR, OWNER",
        "authorized_official_telephone_number": "801-574-9752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7722740-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1629383989",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowden Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.