Individual provider Active NPI

Daniel Russell Guthrie, D.C.

  • Chiropractor
  • Taylorsville, UT
National Provider Identifier
1972722916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
176424-1202 Issued in UT
Practice address
3856 W 5400 S
120
Taylorsville, UT 84118-3579
Phone
(801) 957-9696
Fax
(801) 957-9694
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 176424-1202 UT Primary

Addresses

Primary practice location

3856 W 5400 S
120
Taylorsville, UT 84118-3579

Mailing address

3856 W 5400 S
120
Taylorsville, UT 84118-3579
Phone (801) 957-9696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031103000728 UT Practitioner - Chiropractic 4385556893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8822 S Redwood Rd
Suite C212
West Jordan, UT 84088-5692
Phone (801) 957-9696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
176424-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Chiropractic Clinic Inc Chiropractor CurrentSince Apr 1, 2003 Accepting new patients
Chirocenter Inc Chiropractor Past Accepting new patients
Linford Chiropractic Vacation Services Chiropractor PastSince Apr 1, 2003 Accepting new patients

Locations

3856 W 5400 S
#120
Taylorsville, UT 84129
Phone (801) 957-9696

8822 S Redwood Rd
Ste C212
West Jordan, UT 84088
Phone (801) 388-2101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972722916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 W 5400 S",
            "address_2": "120",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841183579",
            "telephone_number": "801-957-9696",
            "fax_number": "801-957-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3856 W 5400 S",
            "address_2": "120",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841183579",
            "telephone_number": "801-957-9696",
            "fax_number": "801-957-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "DANIEL",
        "middle_name": "RUSSELL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "176424-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.