CHIROPRACTIC CENTER OF SOUTHERN UTAH, INC (NPI# 1417138017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417138017 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC CENTER OF SOUTHERN UTAH, INC |
| Other Organization Name | CHIROPRACTIC CENTER OF SOUTHERN UTAH |
| Practice Address |
619 S Bluff St Tower 1 Suite 400 St George UT 84770-3853 |
| Practice Telephone | 4356560234 |
| Practice Fax Number | 4356562622 |
| Mailing Telephone | 4356560234 |
| Mailing Fax Number | 4356562622 |
| Enumeration Date | 2007-11-25 |
| Last Update Date | 2007-11-25 |
| Authorized Official Name | DR. ROBERT MCKNIGHT (OWNER) |
| Authorized Official Telephone | 4356560234 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| CHIROPRACTIC CENTER OF SOUTHERN UTAH | Doing Business As Name - Organization |
| Street Address |
619 S BLUFF ST TOWER 1 SUITE 400 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508876533 | Robert Sean Mcknight | Chiropractor | 619 S Bluff St, Tower 1, Suite 400, St George, UT 84770-3853 | 2006-08-09 |
| 1477004257 | Elliot Robert Spaulding | Counselor | 619 S Bluff St, Tower 1 Ste 301, St George, UT 84770-3853 | 2016-10-17 |
| 1639546377 | Advanced Family Medicine, LLC | Family Medicine | 619 S Bluff St, Tower 1 Suite 100, St George, UT 84770-3853 | 2015-08-28 |
| 1447526538 | Stephen M Hansen Md PC | Orthopaedic Surgery | 619 S Bluff St, Tower 1 Suite 100, St George, UT 84770-3853 | 2012-03-22 |
| 1699071704 | David Kiyoshi Miyasaki | Chiropractor | 619 S Bluff St, Tower 1, Suite 400, St George, UT 84770-3853 | 2011-02-07 |
| 1528368610 | Advantage Spine Care Center LLC | Clinic/Center | 619 S Bluff St, Suite 401, St George, UT 84770-3853 | 2010-10-24 |
| 1205072923 | Stephen M Hansen Md PC | Specialist | 619 S Bluff St, Tower 1 Suite 100, St George, UT 84770-3853 | 2008-12-30 |
| 1336325257 | Advanced Spine & Rehabilitation | Chiropractor | 619 S Bluff St, Tower 1 Ste 400, St George, UT 84770-3853 | 2008-01-10 |
| 1568569721 | Reed Thomas Gibb | Optometrist | 619 S Bluff St, Tower 1 Suite 1b, St George, UT 84770-3853 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| 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 |
|---|---|---|---|---|
| 1588262430 | Crux Sport & Spine | Chiropractor | 922 E Brigham Rd Bldg 5c, St George, UT 84790-8751 | 2020-10-13 |
| 1043831225 | Matthew Vradenburg | Chiropractor | 229 E Saint George Blvd Ste 105, St George, UT 84770-7902 | 2020-04-29 |
| 1477193753 | Jonathan Paxman Martin | Chiropractor | 619 S Bluff St Ste 100, St George, UT 84770-1232 | 2020-01-14 |
| 1831626993 | Summit Chiropractic LLC | Chiropractor | 321 N Mall Dr Unit H102, St George, UT 84790-7341 | 2017-05-18 |
| 1235502824 | Shane Preece | Chiropractor | 169 W 2710 South Cir Ste 204, St George, UT 84790-7201 | 2015-11-05 |
| 1730563867 | Telios PC | Chiropractor | 63 S 300 E Ste 101, St George, UT 84770-2948 | 2015-07-18 |
| 1073997979 | Clinica Chiropractic | Chiropractor | 1397 W Sunset Blvd Ste 109, St George, UT 84770-4212 | 2015-07-10 |
| 1316332950 | Scott Graf | Chiropractor | 676 S Bluff St Ste 208, St George, UT 84770-3568 | 2015-03-31 |
| 1548673981 | Richard King | Chiropractor | 594 W 400 N, St George, UT 84770-4511 | 2014-06-03 |
| 1851711949 | Core Chiropractic, LLC | Chiropractor | 558 E Riverside Dr Ste 101, St George, UT 84790-7136 | 2014-04-16 |
| Find all providers in ST GEORGE | ||||
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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.