Active NPI
Adam R. Idsinga, D.C.
- Chiropractor
- Spanish Fork, UT
National Provider Identifier
1841589660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8530109-1202
- Practice address
- 663 N Main St
Spanish Fork, UT 84660-1144 - Phone
- (801) 894-9633
- Fax
- (801) 386-5634
- NPI assigned
- Apr 1, 2011
- Last updated
- Sep 24, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 8530109-1202 | UT | Primary |
Addresses
Primary practice location
663 N Main St
Spanish Fork, UT 84660-1144
Mailing address
663 N Main St
Spanish Fork, UT 84660-1144
Phone (801) 894-9633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
663 N Main St
Spanish Fork, UT 84660-1144
Phone (801) 894-9633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8530109-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Chiropractic & Wellness LLC | Chiropractor | Current | Accepting new patients |
| Premier Chiro PC | Chiropractor | Past | Accepting new patients |
| Waxman Chiropractic Services P.C. | Chiropractor | Past | Accepting new patients |
Locations
663 N Main St
Spanish Fork, UT 84660
Phone (801) 894-9633
Organizations & group practices 3
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.
-
- Chiropractor
- Spanish Fork, UT
- NPI 1255768438
-
- Chiropractor
- Chicago, IL
- NPI 1144457359
-
- Chiropractor
- Phoenix, AZ
- NPI 1801023015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1841589660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 N MAIN ST",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846601144",
"telephone_number": "801-894-9633",
"fax_number": "801-386-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 N MAIN ST",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846601144",
"telephone_number": "801-894-9633",
"fax_number": "801-386-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDSINGA",
"first_name": "ADAM",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-01",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "8530109-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spanish Fork, UT
- Alexandria Jessilyn Hurst, MSW
- Mathew Byron Hutchings, PA-C
- Jill Hyde
- Vanessa Ratunuman Hyde
- Troy Hymer
- Ihc Health Services Inc (Spanish Fork Clinic)
- Ihc Health Services Inc (Spanish Fork Hospitalists)
- Ihc Health Services Inc (Spanish Fork Hospital Physicians)
- Ihc Health Services Inc (Spanish Fork Clinic - InstaCare)
- Ihc Health Services, Inc. (Intermountain Health Spanish Fork Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.