NPIMap

Organization Active NPI

Joint and Spine Care Center of Utah

  • Chiropractor
  • Taylorsville, UT
National Provider Identifier
1992174148
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
48011471202 Issued in UT
Legal business name
JOINT AND SPINE CARE CENTER OF UTAH
Practice address
2195 W 5400 S
Ste 105
Taylorsville, UT 84129-1431
Phone
(801) 964-2400
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Derrick Stanbridge, DC
Title
Owner
Phone
(801) 458-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 48011471202 UT Primary

Addresses

Primary practice location

2195 W 5400 S
Ste 105
Taylorsville, UT 84129-1431

Mailing address

2195 W 5400 S
Ste 105
Taylorsville, UT 84129-1431
Phone (801) 964-2400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1992174148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 W 5400 S",
            "address_2": "STE 105",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291431",
            "telephone_number": "801-964-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 W 5400 S",
            "address_2": "STE 105",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291431",
            "telephone_number": "801-964-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT AND SPINE CARE CENTER OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "STANBRIDGE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-458-0152",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "48011471202",
            "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 Sep 21, 2015; 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.