DR. KELLY B JARVIS SR. (NPI# 1730138470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730138470 |
| Entity Type | Individual |
| Full Name | DR. KELLY B JARVIS SR. |
| Credential | D.C. |
| Practice Address |
906 S Main St Heber City UT 84032-2403 |
| Mailing Address |
1150 Cobblestone Dr Heber UT 84032-3938 |
| Practice Telephone | 4356543032 |
| Practice Fax Number | 4356543035 |
| Mailing Telephone | 4356544468 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
161157-1202 | UT | Chiropractic Providers |
| Street Address |
906 S MAIN ST |
| City | HEBER CITY |
| State | UT |
| Zip Code | 84032-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629306790 | Wasatch Back Wellness, Pllc | Clinic/Center | 906 S Main St, Heber City, UT 84032-2403 | 2009-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
| 1558807883 | Heber City Dental | Dentist | 345 E Gateway Drive, Suite 200, Heber City, UT 84032 | 2017-01-10 |
| 1326584921 | Deer Creek Childrens Dentistry | Dentist | 575 South 200 East, Heber City, UT 84032 | 2017-01-06 |
| 1194197871 | Ryan Hall | Physician Assistant | 150 N Main St #105, Heber City, UT 84032 | 2015-10-21 |
| 1841686631 | Jamar Romanceles Grayson | Family Medicine | 1485 Us-40 Ste G, Heber City, Ut 84032, Heber City, UT 84032 | 2015-04-08 |
| 1003218512 | Zebadia Pessetto | Physical Therapist | 380 E 1500 S Ste 102, Heber City, UT 84032 | 2014-09-16 |
| 1033471602 | Erik Mcclure | Anesthesiology | 899 E 200 S, Heber City, UT 84032 | 2012-06-11 |
| 1164716122 | Alicia M Power | Marriage & Family Therapist | 55 South 500 North, Heber City, UT 84032 | 2011-06-07 |
| 1073849873 | Ron T Dummar | Chiropractor | 325 West 600 S St. 403, Heber, UT 84032 | 2009-10-29 |
| 1407031255 | Wasatch County Health Department | Public Health or Welfare | 55 East 500 South, Heber City, UT 84032 | 2007-12-28 |
| Find all providers in zip 84032 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912271073 | Dr Loral G Linton Dc Professional Corp. | Chiropractor | 662 S. Hwy. 89a, Kanab, UT 84741-3646 | 2012-03-06 |
| 1659641827 | Pack Chiropractic Clinic, Inc | Chiropractor | 2565 Tyler Ave, Ogden, UT 84401-2818 | 2012-01-05 |
| 1770612566 | Randall F. Malin | Chiropractor | 291 E 4500 S Ste B, Salt Lake City, UT 84107-3885 | 2007-03-05 |
| 1164559266 | Victor Louis Tebbs | Chiropractor | 15 N 200 W, Hurricane, UT 84737-3484 | 2007-02-27 |
| 1124192042 | Dale Harland Heath | Chiropractor | 792 S 400 E, Orem, UT 84097-6322 | 2006-11-20 |
| 1194894501 | Loral G Linton | Chiropractor | 662 S Hwy. 89a, Kanab, UT 84741-3646 | 2006-11-07 |
| 1679660542 | I Clark Labrum | Chiropractor | 415 W Tabernacle St, St George, UT 84770-3348 | 2006-10-10 |
| 1952409476 | Bruce Van Gundersen | Chiropractor | 4211 Holladay Blvd, Salt Lake City, UT 84124-2607 | 2006-09-20 |
| 1972616894 | Cynthia A. Daw | Chiropractor | 1401 E 3900 S Ste 208, Salt Lake City, UT 84124-1483 | 2006-08-16 |
| 1801832241 | Neil Louis Erickson | Chiropractor | 169 N Gateway Dr Ste 223, Providence, UT 84332-9856 | 2006-06-22 |
| Find all providers with the same taxonomy | ||||
| City | HEBER CITY |
| Zip Code | 84032 |
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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.