Organization Active NPI

Whistln' Dixie Chiropractic P.C.

  • Chiropractor
  • St George, UT
National Provider Identifier
1750553228
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4879417-1202 Issued in UT
Legal business name
WHISTLN' DIXIE CHIROPRACTIC P.C.
Practice address
552 N Dixie Dr
Suite C
St George, UT 84770-5551
Phone
(435) 688-9551
NPI assigned
Mar 25, 2008
Last updated
Jun 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Leroy O Dewitt III, D.C.NPI 1164561452
Title
President
Phone
(435) 688-9551

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
Chiropractor 111N00000X 4879417-1202 UT Primary

Addresses

Primary practice location

552 N Dixie Dr
Suite C
St George, UT 84770-5551

Mailing address

552 N Dixie Dr
Suite C
St George, UT 84770-5551
Phone (435) 688-9551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000505 UT Part B Supplier - Clinic/Group Practice 2769396506 Receives reassigned benefits from 1 practitioner
Practice locations: St George, UT

National Provider Directory

National Provider Directory

Locations

1067 E Tabernacle St
Ste 4
St George, UT 84770
Phone (435) 668-9551

301 E Tabernacle St
Ste 204
St George, UT 84770
Phone (435) 674-0026

552 N Dixie Dr
Ste C
St George, UT 84770
Phone (435) 628-8205

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1750553228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 N DIXIE DR",
            "address_2": "SUITE C",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705551",
            "telephone_number": "435-688-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 N DIXIE DR",
            "address_2": "SUITE C",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705551",
            "telephone_number": "435-688-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHISTLN' DIXIE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-688-9551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "4879417-1202",
            "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 Jun 7, 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.