Daniel Dastrup, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9169105-1202 Issued in UT

Practice address

57 South Main Street
Monroe, UT 84754-4578

Phone

(435) 527-0987

NPI assigned

Nov 5, 2014

Last updated

Mar 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Monroe Mountain Chiropractic PLLC

  • Clinic/Center
  • Monroe, UT
  • NPI 1396135588
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1821494733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 S MAIN ST",
            "city": "MONROE",
            "state": "UT",
            "postal_code": "847544578",
            "telephone_number": "435-527-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SOUTH MAIN STREET",
            "city": "MONROE",
            "state": "UT",
            "postal_code": "847544578",
            "telephone_number": "435-527-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTRUP",
        "first_name": "DANIEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "9169105-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspen Ridge Pharmacy LLC (Aspen Ridge Pharmacy)
• Chisholm Family Dentistry Inc
• Megan Loreen Chisholm
• Richard T. Chisholm, D.D.S.
• Wayne R Chisholm, D.D.S.
• Hadlee Davis
• Trevor Dane Gregerson, CMHC
• Gunnison Valley Hospital (Monroe Clinic)
• McKenzy Hansen
• Robin Rae Horton, NP

• Chiropractor in Monroe, UT
• Providers in Monroe, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.