Active NPI
Roman D. Hentish, D.C.
- Rehabilitation Chiropractor
- Taylorsville, UT
National Provider Identifier
1821028861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 5578639-1202
- Practice address
- 1972 W 5400 S
Taylorsville, UT 84118-1459 - Phone
- (702) 281-6847
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | B01172 | NV | |
| Rehabilitation Chiropractor | 111NR0400X | 5578639-1202 | UT | Primary |
Addresses
Primary practice location
1972 W 5400 S
Taylorsville, UT 84118-1459
Mailing address
8844 S 280 E
Sandy, UT 84070-2343
Phone (702) 281-6847
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5578639-1202 | UT | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1821028861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8844 S 280 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840702343",
"telephone_number": "702-281-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1972 W 5400 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841181459",
"telephone_number": "702-281-6847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENTISH",
"first_name": "ROMAN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NV",
"license": "B01172",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "UT",
"license": "5578639-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.