DR. DOUGLAS GREGORY (NPI# 1174030688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174030688 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS GREGORY |
| Credential | DC |
| Practice Address |
736 W Riverdale Road Riverdale UT 84405-3715 |
| Mailing Address |
2588 N 500 W Sunset UT 84015-2575 |
| Practice Telephone | 3852880934 |
| Mailing Telephone | 3852880934 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 10638431-1202 | UT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | FEIN | 82-1177345 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184687675 | Douglas Blair Gregory | Pediatrics | 4868 Bridge Road, Suffolk, VA 23435-2048 | 2006-04-07 |
| 1528139912 | Douglas Gregory | Marriage & Family Therapist | 151 Hazard Ave, Enfield, CT 06082-4584 | 2006-11-10 |
| Street Address |
736 W RIVERDALE ROAD |
| City | RIVERDALE |
| State | UT |
| Zip Code | 84405-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497258511 | Statera Chiropractic LLC | Chiropractor | 736 W Riverdale Road, Riverdale, UT 84405 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| 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 |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1982055109 | Quad City Spine and Strength, LLC | Chiropractor | 4427 State St, Riverdale, IA 52722-6322 | 2016-06-29 |
| 1144691734 | Church Street Chiropractic, Inc | Chiropractor | 7075 Church St, Riverdale, GA 30274-2306 | 2015-10-08 |
| 1962742494 | Harvey A. Jones Md PC | Chiropractor | 6560 Highway 85, Riverdale, GA 30274-2313 | 2013-02-20 |
| 1205125788 | Scir Specialists LLC | Chiropractor | 34 Upper Riverdale Rd Sw, Suite #206, Riverdale, GA 30274 | 2011-04-05 |
| 1922307073 | Courtney Acree | Chiropractor | 176 Highway 138 Sw Ste 101, Riverdale, GA 30274-4008 | 2011-03-15 |
| 1013249333 | Capital Healthcare Clinics LLC | Chiropractor | 6801 Kenilworth Ave, Suite 120, Riverdale, MD 20737-1331 | 2010-02-11 |
| 1801027990 | Thomas James Hillsten | Chiropractor | 319 Manor Drive, Riverdale, IA 52722-5727 | 2009-08-06 |
| 1932341617 | Tessa Sheri Greene | Chiropractor | 1807 Highway 138 Sw, Riverdale, GA 30296-1881 | 2009-03-27 |
| 1700044203 | Darin Kourajian Dc PC | Chiropractor | 605 Valley Hill Rd Sw, Riverdale, GA 30274-2445 | 2008-05-30 |
| Find all providers in RIVERDALE | ||||
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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.