Michael Loren Massengale, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5248896-1202 Issued in UT

Practice address

1951 W 4700 S
Suite 2
Taylorsville, UT 84118-1108

Phone

(801) 969-4700

Fax

(801) 969-7217

NPI assigned

Sep 14, 2006

Last updated

Jul 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 1St Choice Chiropractic, PLLC

  • Chiropractor
  • Taylorsville, UT
  • NPI 1528259371
  NPD (past) Authorized official
• Derek Price Chiropractic PLLC

  dba First Chiropractic

  • Chiropractor
  • Bullhead City, AZ
  • NPI 1124296165
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1962507848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5392 AUTUMN HEIGHTS DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966571",
            "telephone_number": "801-302-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W 4700 S",
            "address_2": "SUITE 2",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841181108",
            "telephone_number": "801-969-4700",
            "fax_number": "801-969-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENGALE",
        "first_name": "MICHAEL",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5248896-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Martinez
• Martins Center for Autism
• Bailee Mason
• Cole Mason
• Julien Mason
• Shannon Crystal Massengale
• Thomas Mata
• Nicole Mather
• Michael Matheson, DC
• Emily Mathews

• Chiropractor in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.