Active NPI
Russell Val Harward Sr., DC
- Chiropractor
- Draper, UT
National Provider Identifier
1790739324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 172703-1202
- Practice address
- 11616 S State St
Suite 1502
Draper, UT 84020-7125 - Phone
- (801) 571-2200
- Fax
- (801) 816-1048
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 172703-1202 | UT | Primary |
Addresses
Primary practice location
11616 S State St
Suite 1502
Draper, UT 84020-7125
Mailing address
11616 S State St
Suite 1502
Draper, UT 84020-7125
Phone (801) 571-2200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870560087 | Other | UT | SELECTHEALTH |
| DE0098 | Other | UT | PALMETTO GBA - RAILROAD |
| 0004464362 | Other | UT | AETNA |
| 870560087 | Other | UT | UNITED HEALTH CARE |
| 870560087 | Other | UT | MAIL HANDLERS |
| 870560087-001 | Other | UT | MBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11616 S State St
Suite 1502
Draper, UT 84020-7125
Phone (801) 571-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172703-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RVH Incorporated | Current | Accepting new patients |
Locations
11616 S State St
Ste 1502
Draper, UT 84020
Phone (801) 571-2200
9860 S 700 E
Ste 10
Sandy, UT 84070
Phone (801) 571-2200
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.
-
- Exclusive Provider Organization
- Draper, UT
- NPI 1427230424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1790739324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11616 S STATE ST",
"address_2": "SUITE 1502",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207125",
"telephone_number": "801-571-2200",
"fax_number": "801-816-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11616 S STATE ST",
"address_2": "SUITE 1502",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207125",
"telephone_number": "801-571-2200",
"fax_number": "801-816-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARWARD",
"first_name": "RUSSELL",
"middle_name": "VAL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "172703-1202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECTHEALTH",
"identifier": "870560087",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA - RAILROAD",
"identifier": "DE0098",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004464362",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "870560087",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIL HANDLERS",
"identifier": "870560087",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBA",
"identifier": "870560087-001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.