Ian Sequoia Earle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10224169-1202 Issued in UT

Practice address

5640 S Wasatch Dr
Suite E
South Ogden, UT 84403-1908

Phone

(801) 388-3640

NPI assigned

Mar 22, 2017

Last updated

Apr 18, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Rocky Mountain Spine & Injury Chiropractic, P.L.L.C.

  • Chiropractor
  • South Ogden, UT
  • NPI 1194258186
  Authorized official Same address or phone

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1932630837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DERRICK CIR",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840509402",
            "telephone_number": "425-249-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 S WASATCH DR",
            "address_2": "SUITE E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844031908",
            "telephone_number": "801-388-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLE",
        "first_name": "IAN",
        "middle_name": "SEQUOIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60721616",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "10224169-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainee Dorer, RBT
• McKenna Marie Douglas
• Jordan Lyman Dye, LCSW
• Dynamic Health Therapy
• Blake Kelly Earl
• Joanna Earle
• Earline Marchello
• Edge Medical Services
• Jennifer Swanhild Edwards
• Megan Eldridge

• Chiropractor in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.