Individual provider Active NPI

Sangvavane Sith, D.C.

  • Chiropractor
  • Springville, UT
National Provider Identifier
1790973253
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
62430161202 Issued in UT
Practice address
1220 N Main St Ste 12
Springville, UT 84663-4029
Phone
(801) 489-9230
Fax
(801) 489-9235
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 62430161202 UT Primary
Chiropractor 111N00000X IL

Addresses

Primary practice location

1220 N Main St Ste 12
Springville, UT 84663-4029

Mailing address

1220 N Main St Ste 12
Springville, UT 84663-4029
Phone (801) 489-9230

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038010638ILMDChiropractor
62430161202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Art City Chiropractic Inc. 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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1790973253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N MAIN ST STE 12",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846634029",
            "telephone_number": "801-489-9230",
            "fax_number": "801-489-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N MAIN ST STE 12",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846634029",
            "telephone_number": "801-489-9230",
            "fax_number": "801-489-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITH",
        "first_name": "SANGVAVANE",
        "name_prefix": "Miss",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "62430161202",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.