Individual provider Active NPI

Michael Gregory Graves, D.C.

  • Chiropractor
  • Washington Terrace, UT
National Provider Identifier
1932412012
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7617785-1202 Issued in UT
Practice address
134 E 4600 S
Washington Terrace, UT 84405-5946
Phone
(801) 627-2023
NPI assigned
Jul 19, 2010
Last updated
Jul 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7617785-1202 UT Primary

Addresses

Primary practice location

134 E 4600 S
Washington Terrace, UT 84405-5946

Mailing address

651 S 7900 E
Huntsville, UT 84317-9427
Phone (801) 710-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110117000084 UT Practitioner - Chiropractic 6800085515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

928 W 1800
Suite G
Clinton, UT 84015-6608
Phone (801) 775-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7617785-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Great Basin Spine and Sports Chiropractor CurrentSince Aug 9, 2010 Accepting new patients
Mayer Chiropractic Inc Chiropractor Past Accepting new patients
Ogden Family Chiropractic LLC Past Accepting new patients

Locations

928 W 1800 N
Ste G
Clinton, UT 84015
Phone (801) 775-8880

134 E 4600 S
Washington Tr, UT 84405
Phone (801) 393-5982

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1932412012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S 7900 E",
            "city": "HUNTSVILLE",
            "state": "UT",
            "postal_code": "843179427",
            "telephone_number": "801-710-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 E 4600 S",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844055946",
            "telephone_number": "801-627-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MICHAEL",
        "middle_name": "GREGORY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7617785-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Terrace, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.