Sports & Family Chiropractic Group PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPORTS & FAMILY CHIROPRACTIC GROUP PC

Practice address

990 Medical Dr Ste Ul-1
Brigham City, UT 84302-4713

Phone

(435) 723-2377

Fax

(435) 723-9706

NPI assigned

May 18, 2007

Last updated

Oct 2, 2015By 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

Dr. Kyle Duwayne Klein, D.C.NPI 1104911130

Title

President

Phone

(435) 723-2311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 8

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.

• Kyle Duwayne Klein, D.C.

  • Chiropractor
  • Brigham City, UT
  • NPI 1104911130
  Medicare reassignment Care Compare group NPD Authorized official
• Roger M Ellis, D.C.

  • Chiropractor
  • Brigham City, UT
  • NPI 1740361435
  Medicare reassignment Care Compare group NPD
• Damon Hendrickson, D.C.

  • Chiropractor
  • Brigham City, UT
  • NPI 1649716812
  Medicare reassignment Care Compare group NPD
• Brian Christopher Vranes, D.C.

  • Chiropractor
  • Brigham City, UT
  • NPI 1790939312
  Medicare reassignment Care Compare group NPD
• Trevor Glenn Jackson, DC

  • Chiropractor
  • Mobile, AL
  • NPI 1730850850
  NPD
• Bryce Freeland, D.C.

  • Family Nurse Practitioner
  • Syracuse, UT
  • NPI 1295905305

  Chiropractor

  NPD (past)
• Mark Allen Jolley, D.C.

  • Chiropractor
  • Ogden, UT
  • NPI 1801986310
  NPD (past)
• Chris A. O'Bryant, DC

  • Chiropractor
  • Salt Lake City, UT
  • NPI 1790844678
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1760690465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR STE UL-1",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-723-2377",
            "fax_number": "435-723-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR STE UL-1",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-723-2377",
            "fax_number": "435-723-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS & FAMILY CHIROPRACTIC GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "DUWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-723-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Sorensen
• Sherri Sorensen
• Tylin Sorensen
• Christopher Sorenson
• Laura N Spencer
• Kristin Aragon Springer
• Taylor Stagg
• Coen Stanford
• Sean Stanley, M.D.
• Marshall Solan Stanton

• Chiropractor in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.