Alpine Spinal Health

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1668441202 Issued in UT

Legal business name

ALPINE SPINAL HEALTH

Practice address

3325 N University Ave Ste 125
Provo, UT 84604-6615

Phone

(801) 374-2774

Fax

(801) 292-7188

NPI assigned

Jun 24, 2014

Last updated

Jun 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

Jerry S Clark, DCNPI 1114082872

Title

Owner/Chiropractic Physician

Phone

(801) 374-2774

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.

• Jerry S Clark, D.C.

  • Chiropractor
  • Provo, UT
  • NPI 1114082872
  Authorized official Same address or phone

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1851706329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046615",
            "telephone_number": "801-374-2774",
            "fax_number": "801-292-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046615",
            "telephone_number": "801-374-2774",
            "fax_number": "801-292-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE SPINAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "801-374-2774",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "1668441202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Allen Allred, D.O.
• Kaeokalei Alo
• Alpharad Inc
• Alpine Community Health
• Alpine Home Medical Equipment LLC
• Alpine Spinal Rehabilitation Ctr
• Michael Alsop, D.C.
• Erin R Alt, RBT
• Hugo G Altamirano, M.D.
• Jessy Paola Alvarez

• Chiropractor in Provo, UT
• Providers in Provo, UT by specialty
• Chiropractor in Utah

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