Red Butte Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

159542-1202 Issued in UT

Legal business name

RED BUTTE CHIROPRACTIC CLINIC

Practice address

525 E 100 S Ste 420
Salt Lake City, UT 84102-2072

Phone

(801) 322-3067

Fax

(801) 322-4054

NPI assigned

Dec 14, 2011

Last updated

Dec 14, 2011By 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

Dr. Michael Conrad Lane, D.C.NPI 1376637116

Title

Chiropractor

Phone

(801) 322-3067

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.

• Michael Conrad Lane, D.C.

  • Chiropractor
  • Salt Lake City, UT
  • NPI 1376637116
  Authorized official Same address or phone

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1881963262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 S 2500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841083049",
            "telephone_number": "801-322-3067",
            "fax_number": "801-322-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 100 S STE 420",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022072",
            "telephone_number": "801-322-3067",
            "fax_number": "801-322-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BUTTE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-322-3067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "159542-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.