Individual provider Active NPI

Gregory William Cruz, D.C.

  • Chiropractor
  • Farmington, UT
National Provider Identifier
1982896502
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5189064-1202 Issued in UT
Practice address
630 Shepard LN
Suite 101
Farmington, UT 84025-3934
Phone
(801) 447-8680
Fax
(801) 447-4211
NPI assigned
Aug 16, 2007
Last updated
Mar 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5189064-1202 UT Primary
Chiropractor 111N00000X CH00034823 WA

Addresses

Primary practice location

630 Shepard LN
Suite 101
Farmington, UT 84025-3934

Mailing address

630 Shepard LN
Suite 102
Farmington, UT 84025-3934
Phone (801) 447-8680

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

State licenses

LicenseStateTypeSpecialty
5583COMDProfessional Counselor
5189064-1202UTMDChiropractor
CH00034823WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Nutrition, LLC Past Accepting new patients
Theraputic Spa, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1982896502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SHEPARD LN",
            "address_2": "SUITE 102",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253934",
            "telephone_number": "801-447-8680",
            "fax_number": "801-447-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SHEPARD LN",
            "address_2": "SUITE 101",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253934",
            "telephone_number": "801-447-8680",
            "fax_number": "801-447-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5189064-1202",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.