Excel Chiropractic and Sports Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

9178910-1202 Issued in UT

Legal business name

EXCEL CHIROPRACTIC AND SPORTS MEDICINE

Practice address

720 E New England Dr
Sandy, UT 84094-3590

Phone

(801) 523-2582

Fax

(801) 523-2582

NPI assigned

Oct 24, 2014

Last updated

Oct 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kurt Henry Myers, D.C.

Title

Owner

Phone

(801) 362-3167

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Tyler Eldredge, D.C.

  • Chiropractor
  • Sandy, UT
  • NPI 1235314386
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1831594456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 E 1130 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573256",
            "telephone_number": "801-362-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E NEW ENGLAND DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943590",
            "telephone_number": "801-523-2582",
            "fax_number": "801-523-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL CHIROPRACTIC AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-362-3167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "9178910-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Sandy, UT
• Providers in Sandy, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.