Active NPI
Headache Relief Specialists LLC
- Family Medicine Physician
- Tooele, UT
National Provider Identifier
1760826184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEADACHE RELIEF SPECIALISTS LLC
- Practice address
- 1244 No Main, Suite 100
Tooele, UT 84074 - Phone
- (435) 843-7555
- NPI assigned
- Apr 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn H Thompson, D.C.
- Title
- Manager
- Phone
- (435) 840-2690
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | UT | ||
| Family Medicine Physician | 207Q00000X | UT | Primary |
Addresses
Primary practice location
1244 No Main, Suite 100
Tooele, UT 84074
Mailing address
1244 No. Main T
Tooele, UT 84074
Phone (435) 843-7555
National Provider Directory
National Provider DirectoryLocations
1244 N Main St
#T
Tooele, UT 84074
1244 N Main St
Ste 100
Tooele, UT 84074
Phone (435) 833-9200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1760826184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1244 NO. MAIN T",
"city": "TOOELE",
"state": "UT",
"postal_code": "84074",
"telephone_number": "435-843-7555",
"fax_number": "435-882-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 NO MAIN, SUITE 100",
"city": "TOOELE",
"state": "UT",
"postal_code": "84074",
"telephone_number": "435-843-7555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEADACHE RELIEF SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-29",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "435-840-2690",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "UT",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.