Active NPI
Russell Val Harward Sr., DC
- Chiropractor
- Draper, UT
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
- Last updated
- Dec 29, 2011
- 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"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.