ELEVATE FUNCTIONAL HEALTH, LLC (NPI# 1770191694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770191694 |
| Entity Type | Organization |
| Organization Name | ELEVATE FUNCTIONAL HEALTH, LLC |
| Practice Address |
667 Sweetspring Dr Santa Clara UT 84765-5469 |
| Practice Telephone | 4356687284 |
| Mailing Telephone | 4356687284 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-09-13 |
| Authorized Official Name | MR. TYLER COMER (OWNER) |
| Authorized Official Telephone | 4356693952 |
| 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 |
667 SWEETSPRING DR |
| City | SANTA CLARA |
| State | UT |
| Zip Code | 84765-5469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275988305 | Caitlin Rose Tharaldson | Social Worker | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-04-26 |
| 1881069706 | Harmon City Inc | Pharmacy | 3520 Pioneer Parkway, Santa Clara, UT 84765 | 2015-12-03 |
| 1225239171 | Jonathan J Kolon | Dentist | 3176 Santa Clara Drive, Santa Clara, UT 84765 | 2007-05-29 |
| 1225139017 | Elizabeth Ann Johnson | Psychologist | 3090 Windmill Circle, Santa Clara, UT 84765 | 2006-09-26 |
| 1427556018 | Brand Bonsall | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2018-01-29 |
| 1104278076 | Michael Scott Mein | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-07-05 |
| 1982050530 | Mary Elizabeth Zaunbrecher | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-05-12 |
| 1073134896 | Connor James Finklea | Student in an Organized Health Care Education/Training Program | 2503 Stefanie Ln, Santa Clara, UT 84765-1217 | 2020-05-04 |
| 1316293368 | Eric Dennis Drake | Optometrist | 1724 Snow Canyon Dr, Santa Clara, UT 84765-5138 | 2012-07-27 |
| 1730706649 | Matthew Fehrenbacker | Student in an Organized Health Care Education/Training Program | 3398 Windmill Dr, Santa Clara, UT 84765-5193 | 2020-06-26 |
| Find all providers in zip 84765 | ||||
| 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 |
|---|---|---|---|---|
| 1669939310 | Melissa Shizuka Tashiro | Chiropractor | 160 Saratoga Ave Ste 140, Santa Clara, CA 95051-7334 | 2019-02-28 |
| 1528567468 | Ledia Mati | Chiropractor | 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 | 2018-02-06 |
| 1124545496 | Lori Kristine Cruz | Chiropractor | 4675 Stevens Creek Blvd Ste 215, Santa Clara, CA 95051-6764 | 2017-08-27 |
| 1144684457 | Jordan Michael Jiunta | Chiropractor | 3505 The Alameda, Santa Clara, CA 95050-4334 | 2016-04-12 |
| 1932500345 | Tae Hyun Lee | Chiropractor | 3216 El Camino Real # 9, Santa Clara, CA 95051-2803 | 2014-09-05 |
| 1417374554 | Jack Vong | Chiropractor | 4633 Old Ironsides Dr, Suite 101, Santa Clara, CA 95054-1807 | 2014-03-26 |
| 1245598366 | Young Hee Ro | Chiropractor | 100 Saratoga Ave, Santa Clara, CA 95051-7337 | 2012-04-26 |
| 1124390067 | Karo Isajan | Chiropractor | 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 | 2012-02-08 |
| 1164711891 | Connie Yeonhee Chung | Chiropractor | 3148 El Camino Real Ste 107, Santa Clara, CA 95051-2930 | 2011-04-04 |
| 1760792295 | Antonio Dominic Rodriguez | Chiropractor | 2545 Armstrong Place, Santa Clara, CA 95050-5511 | 2010-10-18 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 84765 |
Please comment or provide details below to improve the information on ELEVATE FUNCTIONAL HEALTH, LLC.
| 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.