Organization Active NPI

Elevate Functional Health, LLC

  • Chiropractor
  • St George, UT
National Provider Identifier
1770191694
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELEVATE FUNCTIONAL HEALTH, LLC
Practice address
640 E 700 S Ste 103
St George, UT 84770-5731
Phone
(435) 668-7284
NPI assigned
Jul 16, 2020
Last updated
Jan 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Mr. Tyler Comer, DCNPI 1063693612
Title
Owner
Phone
(435) 669-3952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

640 E 700 S Ste 103
St George, UT 84770-5731

Mailing address

667 Sweetspring Dr
Santa Clara, UT 84765-5469
Phone (435) 668-7284

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL tylercomerdc@gmail.com
Other URL tylercomerdc@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

640 E 700 S
Ste 103
St George, UT 84770
Phone (354) 652-2850

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": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1770191694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 SWEETSPRING DR",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847655469",
            "telephone_number": "435-668-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S STE 103",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705731",
            "telephone_number": "435-668-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE FUNCTIONAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-669-3952",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tylercomerdc@gmail.com",
            "affiliation": "N",
            "address_1": "667 Sweetspring Dr",
            "city": "Santa Clara",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847655469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tylercomerdc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phone",
            "address_1": "667 Sweetspring Dr",
            "city": "Santa Clara",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847655469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.