Active NPI
Dallas S George, D.C.
- Chiropractor
- Bountiful, UT
National Provider Identifier
1861639163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 72128261202
- Practice address
- 395 N 200 W
Bountiful, UT 84010-7045 - Phone
- (801) 295-6667
- Fax
- (801) 295-6664
- NPI assigned
- Jan 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 72128261202 | UT | Primary |
Addresses
Primary practice location
395 N 200 W
Bountiful, UT 84010-7045
Mailing address
296 W 2350 S
Bountiful, UT 84010-7630
Phone (801) 635-8029
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
395 N 200
Bountiful, UT 84010-7045
Phone (801) 295-6667
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72128261202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Peak Wellness Inc | Chiropractor | Past | Accepting new patients |
Locations
395 N 200 W
Bountiful, UT 84010
Phone (801) 295-6667
Interoperability endpoints
- drd@ccg0001.direct.chirotouch.md
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Bountiful, UT
- NPI 1720228042
-
- Chiropractor
- Bountiful, UT
- NPI 1366656613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1861639163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 W 2350 S",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107630",
"telephone_number": "801-635-8029",
"fax_number": "801-860-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 N 200 W",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107045",
"telephone_number": "801-295-6667",
"fax_number": "801-295-6664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "DALLAS",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "72128261202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.