Organization Active NPI

Maya Natural Health Clinic, LLC

  • Chiropractor
  • Orem, UT
National Provider Identifier
1780120253
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5153374-1202 Issued in UT
Legal business name
MAYA NATURAL HEALTH CLINIC, LLC
Practice address
315 N State St
Orem, UT 84057-4747
Phone
(801) 377-0009
Fax
(801) 691-0799
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. Raul David Mateos, BCDHH
Title
Manager
Phone
(801) 377-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5153374-1202 UT Primary

Addresses

Primary practice location

315 N State St
Orem, UT 84057-4747

Mailing address

315 N State St
Orem, UT 84057-4747
Phone (801) 377-0009

Other names 1

  • Clinica de Salud Natural Doing business as

National Provider Directory

National Provider Directory

Locations

315 N State St
Orem, UT 84057
Phone (801) 377-0009

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1780120253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574747",
            "telephone_number": "801-377-0009",
            "fax_number": "801-691-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574747",
            "telephone_number": "801-377-0009",
            "fax_number": "801-691-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA NATURAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "MATEOS",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-377-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCDHH"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5153374-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica de Salud Natural",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.