Organization Active NPI

Rocky Mountain Wellness Center, LLC

  • Chiropractor
  • Syracuse, UT
National Provider Identifier
1871817940
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7212527-1202 Issued in NU
Legal business name
ROCKY MOUNTAIN WELLNESS CENTER, LLC
Practice address
780 S 2000 W
BLDG a, Ste. 101
Syracuse, UT 84075-9602
Phone
(801) 683-9553
Fax
(855) 326-1581
NPI assigned
Mar 18, 2010
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. William D. Green, D.C.NPI 1871730267
Title
Member
Phone
(801) 683-9553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7212527-1202 NU Primary

Addresses

Primary practice location

780 S 2000 W
BLDG a, Ste. 101
Syracuse, UT 84075-9602

Mailing address

780 S 2000 W
BLDG a, Ste. 101
Syracuse, UT 84075-9602
Phone (801) 683-9553

Other names 1

  • Rocky Mountain Family Chiropractic, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

780 S 2000 W
Bldg A
Syracuse, UT 84075
Phone (801) 683-9553

780 S 2000 W
Ste A101
Syracuse, UT 84075
Phone (801) 609-5515

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1871817940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 S 2000 W",
            "address_2": "BLDG A, STE. 101",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759602",
            "telephone_number": "801-683-9553",
            "fax_number": "855-326-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S 2000 W",
            "address_2": "BLDG A, STE. 101",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759602",
            "telephone_number": "801-683-9553",
            "fax_number": "855-326-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-683-9553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": "7212527-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Family Chiropractic, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.