Organization Active NPI

Long Chiropractic, P.C.

  • Chiropractor
  • Hurricane, UT
National Provider Identifier
1891706677
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14731 Issued in UT
Legal business name
LONG CHIROPRACTIC, P.C.
Practice address
55 S 300 W
Suite 3
Hurricane, UT 84737-2198
Phone
(435) 635-3828
Fax
(435) 635-4433
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Dr. Anatole M Long, D.C.NPI 1699715201
Title
President
Phone
(435) 635-3828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 14731 UT Primary

Addresses

Primary practice location

55 S 300 W
Suite 3
Hurricane, UT 84737-2198

Mailing address

55 S 300 W
Suite 3
Hurricane, UT 84737-2198
Phone (435) 635-3828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060918000237 UT Part B Supplier - Clinic/Group Practice 3375548753 Receives reassigned benefits from 1 practitioner
Practice locations: Hurricane, UT

National Provider Directory

National Provider Directory

Locations

1141 W State St
Ste 7
Hurricane, UT 84737
Phone (435) 635-3828

55 S 300 W
Ste 3
Hurricane, UT 84737
Phone (435) 635-3828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1891706677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S 300 W",
            "address_2": "SUITE 3",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372198",
            "telephone_number": "435-635-3828",
            "fax_number": "435-635-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 300 W",
            "address_2": "SUITE 3",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372198",
            "telephone_number": "435-635-3828",
            "fax_number": "435-635-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ANATOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-635-3828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "14731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.