Individual provider Active NPI

Brent James Mayer, D.C.

  • Chiropractor
  • Clearfield, UT
National Provider Identifier
1780855635
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
48735991202 Issued in UT
Practice address
926 W 1700 S
Suite B
Clearfield, UT 84015-8530
Phone
(801) 775-8880
Fax
(801) 775-8890
NPI assigned
Mar 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 48735991202 UT Primary

Addresses

Primary practice location

926 W 1700 S
Suite B
Clearfield, UT 84015-8530

Mailing address

926 W 1700 S
Suite B
Clearfield, UT 84015-8530
Phone (801) 775-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4873599-1202UTMDChiropractor
48735991202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mayer Chiropractic Inc Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1780855635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 W 1700 S",
            "address_2": "SUITE B",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840158530",
            "telephone_number": "801-775-8880",
            "fax_number": "801-775-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 W 1700 S",
            "address_2": "SUITE B",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840158530",
            "telephone_number": "801-775-8880",
            "fax_number": "801-775-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "BRENT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "48735991202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.