Active NPI
Daryl Eldon Hales, D.C.
- Chiropractor
- Clearfield, UT
National Provider Identifier
1972504892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 22-160282-1202
- Practice address
- 360 S State St
Suite a
Clearfield, UT 84015-1892 - Phone
- (801) 773-1821
- Fax
- (801) 825-5276
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 22-160282-1202 | UT | Primary |
Addresses
Primary practice location
360 S State St
Suite a
Clearfield, UT 84015-1892
Mailing address
360 S State St
Suite a
Clearfield, UT 84015-1892
Phone (801) 773-1821
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870333664 | Other | UT | FEDERAL ID NUMBER |
| 19951 | Other | UT | PEHP PROVIDER ID |
| 51658 | Other | UT | U OF U HEALTH ID |
| 35602 | Other | UT | DMBA PROVIDER ID |
| 107001037101 | Other | UT | SELECT HEALTH PROV. ID |
| 10450 | Other | UT | ALTIUS IDENTIFIER |
| 870395551HA4 | Other | UT | EDUCATORS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101201000325 | UT | Practitioner - Chiropractic | 2062608102 | Practice locations: Clearfield, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
360 S State St
Suite a
Clearfield, UT 84015-1893
Phone (801) 773-1821
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-160282-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1972504892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 S STATE ST",
"address_2": "SUITE A",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840151892",
"telephone_number": "801-773-1821",
"fax_number": "801-825-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 S STATE ST",
"address_2": "SUITE A",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840151892",
"telephone_number": "801-773-1821",
"fax_number": "801-825-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALES",
"first_name": "DARYL",
"middle_name": "ELDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "22-160282-1202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID NUMBER",
"identifier": "870333664",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP PROVIDER ID",
"identifier": "19951",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U OF U HEALTH ID",
"identifier": "51658",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA PROVIDER ID",
"identifier": "35602",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH PROV. ID",
"identifier": "107001037101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS IDENTIFIER",
"identifier": "10450",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS PROVIDER ID",
"identifier": "870395551HA4",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.