Individual provider Active NPI

Sidney Jeremy Westerman, D.C.

  • Chiropractor
  • Taylorsville, UT
National Provider Identifier
1841358710
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4875370-1202 Issued in UT
Practice address
2195 W 5400 S
Suite 202
Taylorsville, UT 84118-1431
Phone
(801) 966-2804
Fax
(801) 982-9234
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4875370-1202 UT Primary

Addresses

Primary practice location

2195 W 5400 S
Suite 202
Taylorsville, UT 84118-1431

Mailing address

8038 S State St
Midvale, UT 84047-3243
Phone (801) 569-1250

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

LicenseStateTypeSpecialty
4875370-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1841358710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8038 S STATE ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473243",
            "telephone_number": "801-569-1250",
            "fax_number": "801-567-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 W 5400 S",
            "address_2": "SUITE 202",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841181431",
            "telephone_number": "801-966-2804",
            "fax_number": "801-982-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERMAN",
        "first_name": "SIDNEY",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "4875370-1202",
            "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 Dec 12, 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.