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DR. JOHN-MICHAEL KEONI DELLERMANN DC, CCSP, LAT, ATC
NPI 1053716852
Chiropractor - Sports Physician in Ogden, UT

Active since October 23, 2014
2650 WASHINGTON BLVD STE 208, OGDEN, UT 84401(801) 200-3654 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Oct 11, 2022, May 25, 2022 (3 updates tracked since 2022).

About Dr. John-michael Keoni Dellermann Dc, Ccsp, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN-MICHAEL KEONI DELLERMANN DC, CCSP, LAT, ATC (NPI 1053716852) is an individual sports physician in Ogden, Utah, licensed in Utah (12884926-1202) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1053716852
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. JOHN-MICHAEL KEONI DELLERMANNCredential: DC, CCSP, LAT, ATC
Location Address2650 WASHINGTON BLVD STE 208Ogden, UT 84401-3623
Mailing Address2275 N 2100 ELayton, UT 84040-8084 · (801) 200-3654
Phone(801) 200-3654
Sole ProprietorYes
Enumeration DateOctober 23, 2014
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1053716852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in UT · 12884926-1202
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 12884926-4810 (UT)
2650 WASHINGTON BLVD STE 208, Ogden, UT 84401
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John-michael Dellermann's NPI number?

The NPI number for John-michael Dellermann is 1053716852. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is John-michael Dellermann located?

John-michael Dellermann practices at 2650 Washington Blvd Ste 208, Ogden, UT 84401. The listed phone number is (801) 200-3654.

What is John-michael Dellermann's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for John-michael Dellermann was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.