Organization Active NPI

Steven D. Fisher D.C., P.C.

  • Health Maintenance Organization
  • Logan, UT
National Provider Identifier
1851551824
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
52876451202 Issued in UT
Legal business name
STEVEN D. FISHER D.C., P.C.
Practice address
965 S 100 W Ste 105
Logan, UT 84321-6067
Phone
(435) 752-5522
Fax
(435) 752-3075
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Steven Delmont Fisher, D.C., P.C.
Title
Chiropractor
Phone
(435) 752-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 52876451202 UT Primary

Addresses

Primary practice location

965 S 100 W Ste 105
Logan, UT 84321-6067

Mailing address

965 S 100 W Ste 105
Logan, UT 84321-6067
Phone (435) 752-5522

National Provider Directory

National Provider Directory

Locations

880 E 9400 S
Ste 104
Sandy, UT 84094
Phone (801) 523-0073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1851551824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S 100 W STE 105",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216067",
            "telephone_number": "435-752-5522",
            "fax_number": "435-752-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S 100 W STE 105",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216067",
            "telephone_number": "435-752-5522",
            "fax_number": "435-752-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D. FISHER D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DELMONT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "435-752-5522",
        "authorized_official_credential": "D.C., P.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "UT",
            "license": "52876451202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.