Active NPI
Daniel Louis Chadwell, PH.D.
- Audiologist
- Riverton, UT
National Provider Identifier
1982647145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8471398-4104
- Practice address
- 3741 W 12600 S
Intermountain Riverton Hospital
Riverton, UT 84065-7215 - Phone
- (801) 285-4633
- Fax
- (402) 943-5539
- NPI assigned
- Jun 14, 2006
- Last updated
- Feb 4, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 8471398-4104 | UT | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 8471398-4101 | UT |
Addresses
Primary practice location
3741 W 12600 S
Intermountain Riverton Hospital
Riverton, UT 84065-7215
Mailing address
2602 W 13400 S
Riverton, UT 84065-5819
Phone (801) 738-2065
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8471398-4101 | Other | UT | STATE OF UTAH LICENSE |
| 186 | Other | NE | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8471398-4104 | UT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1982647145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 W 13400 S",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840655819",
"telephone_number": "801-738-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3741 W 12600 S",
"address_2": "INTERMOUNTAIN RIVERTON HOSPITAL",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657215",
"telephone_number": "801-285-4633",
"fax_number": "402-943-5539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWELL",
"first_name": "DANIEL",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "8471398-4104",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "UT",
"license": "8471398-4101",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF UTAH LICENSE",
"identifier": "8471398-4101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "186",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.