Chiropractic Avenue LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

7443716-1202 Issued in UT

Legal business name

CHIROPRACTIC AVENUE LLC

Practice address

169 W 2710 South Cir
Suite 204
St George, UT 84790-7201

Phone

(435) 688-2292

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brent David Noorda, D.C.

Title

Managing Partner

Phone

(435) 688-2292

Specialties & licenses 1

Addresses

Other names 1

• Balanced Spinal Care Doing business as

Locations

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1972804755",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "3155 S HIDDEN VALLEY DR",
            "address_2": "UNIT 175",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-688-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR",
            "address_2": "SUITE 204",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907201",
            "telephone_number": "435-688-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "NOORDA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "435-688-2292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "UT",
            "license": "7443716-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Spinal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Callysta Childress
• Barbara Chilow, L.C.S.W.
• Jared Cory Chin, DO
• Christopher Jon Chipman
• Julia Martha Chipman
• Chiropractic Center of Southern Utah, Inc
• Chiropractic Clinic Plus
• Adam M Chirstensen
• John I Choate, JD
• Ryan A Chollet

• Health Maintenance Organization in St George, UT
• Providers in St George, UT by specialty
• Health Maintenance Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.