Organization Active NPI

Stevens Chiropractic PC

  • Chiropractor
  • North Logan, UT
National Provider Identifier
1881975951
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
329761-1202 Issued in UT
Legal business name
STEVENS CHIROPRACTIC PC
Practice address
1635 N 200 E
North Logan, UT 84341-1913
Phone
(435) 755-7654
Fax
(435) 753-7654
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Dee Stevens, DC
Title
Owner/President
Phone
(435) 755-7654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 329761-1202 UT Primary

Addresses

Primary practice location

1635 N 200 E
North Logan, UT 84341-1913

Mailing address

1635 N 200 E
North Logan, UT 84341-1913
Phone (435) 755-7654

Other identifiers 1

IdentifierTypeStateIssuer
570276634001MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1881975951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N 200 E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411913",
            "telephone_number": "435-755-7654",
            "fax_number": "435-753-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N 200 E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411913",
            "telephone_number": "435-755-7654",
            "fax_number": "435-753-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "435-755-7654",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "329761-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570276634001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.