Individual provider Active NPI

Adam R. Idsinga, D.C.

  • Chiropractor
  • Spanish Fork, UT
National Provider Identifier
1841589660
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8530109-1202 Issued in UT
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200316002747 UT Practitioner - Chiropractic 9638501729 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
8530109-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Chiropractic & Wellness LLC Chiropractor CurrentSince Aug 25, 2019 Accepting new patients
Premier Chiro PC Chiropractor Past Accepting new patients
Waxman Chiropractic Services P.C. Chiropractor PastSince May 1, 2015 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.

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

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.

Verify at the official NPI Registry.