HIGH FIVE CHIROPRACTIC (NPI# 1447400114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447400114 |
Entity Type | Organization |
Organization Name | HIGH FIVE CHIROPRACTIC |
Practice Address |
456 State Road 198 Salem UT 84653-9187 |
Mailing Address |
456 North S.r. 198 Salem UT 84653 |
Practice Telephone | 8014233555 |
Practice Fax Number | 8014232855 |
Mailing Telephone | 8014233555 |
Mailing Fax Number | 8014232855 |
Enumeration Date | 2008-09-30 |
Last Update Date | 2010-06-03 |
Authorized Official Name | DR. BRADLEY MARK SHEPHERD (OWNER) |
Authorized Official Telephone | 8016367499 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
71183171202 | UT | Ambulatory Health Care Facilities |
Street Address |
456 STATE ROAD 198 |
City | SALEM |
State | UT |
Zip Code | 84653-9187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
1811357791 | Melanie Pace | Dental Hygienist | 818 East 750 South, Salem, UT 84653 | 2016-03-04 |
1265773899 | Bill Clifford Marshall | Marriage & Family Therapist | 405 S Maple Dr, Woodland Hills, UT 84653 | 2013-03-06 |
1013159995 | Elder Assisted Living LLC | Assisted Living Facility | 1015 S 550 W, Salem, UT 84653 | 2009-03-24 |
1780884247 | David Kent Hansen | Dentist | 204 East 400 North, Suite A, Salem, UT 84653 | 2007-07-23 |
1154524965 | Justin Thomas Perry | Dentist | 40 South 200 West, Salem, UT 84653 | 2007-06-08 |
1013130947 | John E Braithwaite | Dentist | 40 S 200 W, Salem, UT 84653 | 2007-04-10 |
1104972827 | Salem City Corporation | Ambulance | 30 W 100 S, Salem, UT 84653 | 2007-01-26 |
1700989209 | James Bryan Bonny | Dentist | 245 W State Hwy 198, Suite 6, Salem, UT 84653 | 2006-09-07 |
1578574570 | Kids Who Count | Day Training, Developmentally Disabled Services | 345 N Sr 198, Salem, UT 84653 | 2006-08-11 |
Find all providers in zip 84653 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1235454455 | Salem Brain & Spine, LLC | Clinic/Center | 700 Bellevue St Se, Suite 245, Salem, OR 97301-3819 | 2010-03-31 |
1053541938 | Cmcdonough Chiropractic, LLC | Clinic/Center | 358 Superior St Se, Suite 100, Salem, OR 97302-5170 | 2009-07-25 |
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1548630908 | Smart Medical, LLC | Clinic/Center | 6337 S Highland Dr, Ste 110, Salt Lake City, UT 84121-2107 | 2015-09-29 |
1639557846 | Flow Acupuncture & Apothecary | Clinic/Center | 1390 S 1100 E Ste 110, Salt Lake City, UT 84105-2463 | 2015-05-08 |
1073805289 | Spine and Muscular Rehabilitation Chiropractic Pllc | Clinic/Center | 1634 N Main St, North Logan, UT 84341-1920 | 2011-05-05 |
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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.