Active NPI
Stevens Chiropractic PC
- Chiropractor
- North Logan, UT
National Provider Identifier
1881975951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 329761-1202
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 570276634001 | Medicaid | UT |
National Provider Directory
National Provider DirectoryNPI 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.