Active NPI
Roger Max Neumann, DC
- Chiropractor
- Bountiful, UT
National Provider Identifier
1831202282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 156174 1202
- Practice address
- 1480 South Orchard Dr
Bountiful, UT 84010-5108 - Phone
- (801) 292-5611
- Fax
- (801) 292-5579
- NPI assigned
- Aug 17, 2006
- Last updated
- Jul 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 156174 1202 | UT | Primary |
Addresses
Primary practice location
1480 South Orchard Dr
Bountiful, UT 84010-5108
Mailing address
1480 South Orchard Dr
Bountiful, UT 84010-5108
Phone (801) 292-5611
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 |
|---|---|---|---|
| 156174 1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1831202282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 SOUTH ORCHARD DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105108",
"telephone_number": "801-292-5611",
"fax_number": "801-292-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 SOUTH ORCHARD DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105108",
"telephone_number": "801-292-5611",
"fax_number": "801-292-5579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMANN",
"first_name": "ROGER",
"middle_name": "MAX",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "156174 1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.