Tooele Valley Spine Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

17-6239-1202 Issued in UT

Legal business name

TOOELE VALLEY SPINE CENTER

Practice address

1244 N Main St Ste 100
Tooele, UT 84074-9839

Phone

(435) 833-9200

Fax

(435) 833-9223

NPI assigned

Feb 13, 2007

Last updated

Aug 22, 2020By 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

Glenn H. Thompson, D.C.NPI 1407830953

Title

Doctor Owner

Phone

(435) 883-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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.

• Glenn Hunter Thompson, D.C.

  • Chiropractor
  • Tooele, UT
  • NPI 1407830953
  Medicare reassignment Care Compare group NPD Authorized official
• John Todd McPhie, D.C.

  • Chiropractor
  • Tooele, UT
  • NPI 1598995763
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861534356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N MAIN ST STE 100",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749839",
            "telephone_number": "435-833-9200",
            "fax_number": "435-833-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N MAIN ST STE 100",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749839",
            "telephone_number": "435-833-9200",
            "fax_number": "435-833-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOELE VALLEY SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DOCTOR     OWNER",
        "authorized_official_telephone_number": "435-883-9200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "17-6239-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tooele Orthopedics & Sports Medicine Specialists
• Tooele PDC PLLC (Wasatch Orthodontics and Family Dentistry)
• Tooele Sober Living
• Tooele Valley Counseling PLLC
• Tooele Valley Imaging, LLC (First Choice Imaging)
• Tooele Valley Urgent Care LLC
• Kyle D Toone, PT
• Ryan Michael Tullis
• Ellen Gable Turgeon, DMD
• Shantalina M Tyler

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.