TRAVIS ENRIQUE CASTILLON (NPI# 1598005647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598005647 |
| Entity Type | Individual |
| Full Name | TRAVIS ENRIQUE CASTILLON |
| Credential | D.C. |
| Practice Address |
458 N 500 W Bountiful UT 84010-6948 |
| Mailing Address |
766 Parkway Dr North Salt Lake UT 84054-2652 |
| Practice Telephone | 8012968060 |
| Mailing Telephone | 8015108626 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8467836-1202 | UT | Chiropractic Providers |
| Street Address |
458 N 500 W |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423564 | Brett Earl | Emergency Medicine | 458 N 500 W, Bountiful, UT 84010-6948 | 2006-03-29 |
| 1124673660 | Jared Thomas Brown | Chiropractor | 458 N 500 W, Bountiful, UT 84010-6948 | 2019-08-01 |
| 1215465042 | Tanner Clark | Chiropractor | 458 N 500 W, Bountiful, UT 84010-6948 | 2017-05-24 |
| 1073061974 | Judd Gines | Chiropractor | 458 N 500 W, Bountiful, UT 84010-6948 | 2016-09-20 |
| 1104296623 | Lauren Lightfield | Nurse Practitioner | 458 N 500 W, Bountiful, UT 84010 | 2015-09-26 |
| 1629407697 | Integrated Functional Medicine | General Practice | 458 N 500 W, Bountiful, UT 84010-6948 | 2013-11-11 |
| 1366795502 | Integrated Wellness Group LLC | Chiropractor | 458 N 500 W, Bountiful, UT 84010-6948 | 2012-10-25 |
| 1487935045 | Steven Ivan White | Physician Assistant | 458 N 500 W, Bountiful, UT 84010-6948 | 2011-09-08 |
| 1033168372 | Cory M Frogley | Chiropractor | 458 N 500 W, Bountiful, UT 84010-6948 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| 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 |
|---|---|---|---|---|
| 1881136620 | Hands for Life Bountiful | Chiropractor | 535 W 500 S, Ste 1, Bountiful, UT 84010-8176 | 2016-11-10 |
| 1831492917 | Clint J. Grover | Chiropractor | 535 W 500 S Ste 1, Bountiful, UT 84010-8176 | 2010-12-13 |
| 1447459664 | Richard S Uhl | Chiropractor | 1582 N 150 W, Bountiful, UT 84010-5949 | 2007-07-17 |
| 1093919359 | Bradley Jay Devereaux | Chiropractor | 190 W 100 S, Suite A, Bountiful, UT 84010-6205 | 2007-06-12 |
| 1427262195 | Canyon Ridge Chiropractic, Inc. | Chiropractor | 425 S Medical Dr, Suite 216, Bountiful, UT 84010-4945 | 2007-05-10 |
| 1366656613 | Peak Wellness Inc | Chiropractor | 544 West 750 South, Suite D, Bountiful, UT 84010-7267 | 2007-05-09 |
| 1063548501 | Michael Lindstrom | Chiropractor | 651 W 3600 S, Bountiful, UT 84010-8338 | 2007-02-26 |
| 1194877266 | Jerald Wilson Duggar | Chiropractor | 485 S 100 E, Bountiful, UT 84010-4903 | 2007-01-17 |
| 1255402046 | Mark W. Roberts | Chiropractor | 345 E 500 S, Bountiful, UT 84010-4924 | 2006-11-13 |
| 1831202282 | Roger Max Neumann | Chiropractor | 1480 South Orchard Dr, Bountiful, UT 84010-5108 | 2006-08-17 |
| Find all providers in BOUNTIFUL | ||||
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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.