ADVANCED TECHNOLOGY SPINAL CENTER, INC. (NPI# 1144389552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144389552 |
| Entity Type | Organization |
| Organization Name | ADVANCED TECHNOLOGY SPINAL CENTER, INC. |
| Practice Address |
174 W Parrish Ln Centerville UT 84014 |
| Practice Telephone | 8012987330 |
| Practice Fax Number | 8012955434 |
| Mailing Telephone | 8012987330 |
| Mailing Fax Number | 8012955434 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT E PARK (CEO) |
| Authorized Official Telephone | 8012987330 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 176374-1202 | UT | Chiropractic Providers |
| Street Address |
174 W PARRISH LN |
| City | CENTERVILLE |
| State | UT |
| Zip Code | 84014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429670 | Park Chiropractic | Chiropractor | 174 W Parrish Ln, Centerville, UT 84014-1821 | 2006-07-17 |
| 1740614452 | Liane N Truong | Physical Therapist | 174 W Parrish Ln, Centerville, UT 84014-1821 | 2013-08-29 |
| 1932330933 | Aimee Catherine Beightol | Physical Therapist | 174 W Parrish Ln, Centerville, UT 84014-1821 | 2009-08-07 |
| 1588803415 | Centerville Medical Center, Inc. | Clinic/Center | 174 W Parrish Ln, Centerville, UT 84014-1821 | 2009-02-17 |
| 1255471579 | Robert E Park | Chiropractor | 174 W Parrish Ln, Centerville, UT 84014-1821 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879160 | Nanette F Reid | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-03 |
| 1124557541 | Julie Blundell | Social Worker | 1634 Lewis and Clark Dr, Centerville, UT 84014 | 2017-06-08 |
| 1588843395 | Lorant Steve Bodo | Assisted Living Facility | 463 West Rawlins Circle, Centerville, UT 84014 | 2007-10-29 |
| 1659572949 | Armando Wayne Slack | Registered Nurse | 190 S Main St, Centerville, UT 84014 | 2007-05-31 |
| 1467588004 | Pitt Family Dental | Dentist | 281 South Main, Centerville, UT 84014 | 2007-02-26 |
| 1841346467 | Lds Family Services | Specialist | 94a East Pages Lane, Centerville, UT 84014 | 2007-01-26 |
| 1275690489 | Do-it for You | Chore Provider | 291 E Casa Loma Drive, Centerville, UT 84014 | 2007-01-03 |
| 1558455527 | Brian D Rigby | Dentist | 44 East 100 South, Suite 100, Centerville, UT 84014 | 2006-10-03 |
| 1588756407 | Gary A Lawson | Dentist | 1080 South 400 East, Centerville, UT 84014 | 2006-09-28 |
| 1811526353 | Reid Physical Therapy | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-06 |
| Find all providers in zip 84014 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407493471 | Zach Hutt | Chiropractor | 603 N 2nd St, Centerville, IA 52544-1202 | 2019-12-09 |
| 1447786090 | Dr W Nathan Baxter Inc | Chiropractor | 5812 Wilmington Pike, Centerville, OH 45459-7004 | 2017-05-02 |
| 1255751962 | Jack M. Harless LLC | Chiropractor | 7974 Bigger Rd, Centerville, OH 45459-5405 | 2014-04-21 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1487981775 | Russell Kenneth Hulbert | Chiropractor | 145 West Franklin Street, Centerville, OH 45459-4701 | 2009-11-09 |
| 1013140664 | Timothy David Dooley | Chiropractor | 1504 Yankee Park Pl, Centerville, OH 45458-1878 | 2009-08-31 |
| 1861623639 | Eric James Clements | Chiropractor | 2058 Willow Cir, Centerville, MN 55038-8772 | 2009-07-28 |
| 1396951562 | L Bryce Crowley | Chiropractor | 1134 W 500 N, Centerville, UT 84014-1721 | 2007-05-15 |
| 1891914776 | Alexis Mary Hrynko-kouri | Chiropractor | 619 Main St Ste 2, Centerville, MA 02632-2954 | 2007-04-25 |
| 1174658264 | Thomas Francis Schlavin Jr. | Chiropractor | 1881 Main St, Centerville, MN 55038-9794 | 2007-02-22 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 84014 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.