Organization Active NPI

Non Surgical Spine Treatment Center, LLC

  • Chiropractor
  • Pleasant Grove, UT
National Provider Identifier
1780076703
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1684541202 Issued in VA
Legal business name
NON SURGICAL SPINE TREATMENT CENTER, LLC
Practice address
405 S 100 E
Suite 102
Pleasant Grove, UT 84062-2751
Phone
(801) 785-6534
Fax
(888) 431-2763
NPI assigned
Feb 27, 2015
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Bryon L Rosquist, DC
Title
Manager
Phone
(801) 785-6534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1684541202 VA Primary

Addresses

Primary practice location

405 S 100 E
Suite 102
Pleasant Grove, UT 84062-2751

Mailing address

405 S 100 E
Suite 102
Pleasant Grove, UT 84062-2751
Phone (801) 785-6534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1780076703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S 100 E",
            "address_2": "SUITE 102",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622751",
            "telephone_number": "801-785-6534",
            "fax_number": "888-431-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S 100 E",
            "address_2": "SUITE 102",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622751",
            "telephone_number": "801-785-6534",
            "fax_number": "888-431-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON SURGICAL SPINE TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "ROSQUIST",
        "authorized_official_first_name": "BRYON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-785-6534",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "1684541202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.