CRUX SPORT & SPINE (NPI# 1588262430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588262430 |
| Entity Type | Organization |
| Organization Name | CRUX SPORT & SPINE |
| Practice Address |
922 E Brigham Rd Bldg 5c St George UT 84790-8751 |
| Practice Telephone | 9563573700 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | KATLIN SMITH (PART OWNER) |
| Authorized Official Telephone | 9563573700 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
922 E BRIGHAM RD BLDG 5C |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-8751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1881950343 | James Hartman Andersen | Chiropractor | 188 N Bluff St, St George, UT 84770-4546 | 2012-04-09 |
| 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.