Individual provider Active NPI

Brian Howard Ewell, D.C.

  • Chiropractor
  • West Valley City, UT
National Provider Identifier
1760459135
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3446021202 Issued in UT
Practice address
2964 West 4700 South
Suite 102
West Valley City, UT 84129-3301
Phone
(801) 966-9100
Fax
(801) 966-0094
NPI assigned
Mar 3, 2006
Last updated
Aug 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3446021202 UT Primary

Addresses

Primary practice location

2964 West 4700 South
Suite 102
West Valley City, UT 84129-3301

Mailing address

2964 West 4700 South
Suite 102
West Valley City, UT 84129-3301
Phone (801) 966-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813001020 UT Practitioner - Chiropractic 6204809676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2964 W 4700
Suite 102
Taylorsville, UT 84129-2558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3446021202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rawlings Chiropractic Services Chiropractor Past Accepting new patients
Brian H. Ewell, D.C., P.C. Chiropractor PastSince Jan 1, 1990 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1760459135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 WEST 4700 SOUTH",
            "address_2": "SUITE 102",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841293301",
            "telephone_number": "801-966-9100",
            "fax_number": "801-966-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 WEST 4700 SOUTH",
            "address_2": "SUITE 102",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841293301",
            "telephone_number": "801-966-9100",
            "fax_number": "801-966-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWELL",
        "first_name": "BRIAN",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3446021202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.

Verify at the official NPI Registry.