Individual provider Active NPI

Jeffrey Robert Favero, D.C.

  • Chiropractor
  • North Ogden, UT
National Provider Identifier
1982964201
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8317619-1202 Issued in UT
Practice address
365 E Lomond View Dr # 102
North Ogden, UT 84414-2269
Phone
(801) 784-6306
Fax
(801) 784-6316
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8317619-1202 UT Primary

Addresses

Primary practice location

365 E Lomond View Dr # 102
North Ogden, UT 84414-2269

Mailing address

365 E Lomond View Dr # 102
North Ogden, UT 84414-2269
Phone (801) 784-6306

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
734WYMDClinical Psychologist
8317619-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Davidson Chiropractic Clinic, Inc. Chiropractor PastSince Nov 1, 2001 Accepting new patients
North Lincoln County Hospital District 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1982964201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E LOMOND VIEW DR # 102",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142269",
            "telephone_number": "801-784-6306",
            "fax_number": "801-784-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E LOMOND VIEW DR # 102",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142269",
            "telephone_number": "801-784-6306",
            "fax_number": "801-784-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVERO",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8317619-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.