NPIMap

Organization Active NPI

Thomas D Rose DC PC

Doing business as Sevier Valley Chiropractic Clinic

  • Chiropractor
  • Richfield, UT
National Provider Identifier
1780857623
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
164775-1202 Issued in UT
Legal business name
THOMAS D ROSE DC PC
Doing business as
Sevier Valley Chiropractic Clinic
Practice address
489 N Main St
Richfield, UT 84701-1822
Phone
(435) 896-8820
Fax
(435) 896-0334
NPI assigned
Apr 11, 2008
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Dr. Thomas D Rose, D.C.NPI 1336164466
Title
Doctor/Owner
Phone
(435) 896-8820

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
Chiropractor 111N00000X 164775-1202 UT Primary

Addresses

Primary practice location

489 N Main St
Richfield, UT 84701-1822

Mailing address

489 N Main St
Richfield, UT 84701-1822
Phone (435) 896-8820

Other identifiers 5

IdentifierTypeStateIssuer
530341920016MedicaidUT
36360OtherUTDESERET MUTUAL
1032704OtherAMERICAN SPECIALTY HEALTH
53034192077001OtherUTBLUE CROSS BLUE SHIELD
870395551RO1OtherUTEDUCATORS MUTUAL

Other names 1

  • Sevier Valley Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

489 N Main St
Richfield, UT 84701
Phone (435) 896-8820

Practitioners & affiliated clinicians

Practitioners 2

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": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1780857623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011822",
            "telephone_number": "435-896-8820",
            "fax_number": "435-896-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011822",
            "telephone_number": "435-896-8820",
            "fax_number": "435-896-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D ROSE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "435-896-8820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "164775-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530341920016",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "36360",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1032704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53034192077001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "870395551RO1",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sevier Valley Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.