STATERA CHIROPRACTIC LLC
NPI 1497258511
Chiropractor in Riverdale, UT

Active since March 15, 2018
736 W RIVERDALE ROAD, RIVERDALE, UT 84405(385) 288-0934 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Statera Chiropractic Llc NPPES

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

STATERA CHIROPRACTIC LLC (NPI 1497258511) is a healthcare organization registered as a chiropractor in Riverdale, Utah and active in the NPI registry since March 2018. The organization lists Douglas Gregory, Owner, as its authorized official.

NPPES Registry Identity

NPI1497258511
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSTATERA CHIROPRACTIC LLC
Location Address736 W RIVERDALE ROADRiverdale, UT 84405
Mailing Address736 W Riverdale RoadRiverdale, UT 84405 · (385) 288-0934
Organization SubpartNo
Authorized OfficialDouglas GregoryOwner · (385) 288-0934
Enumeration DateMarch 15, 2018
✔ NPI 1497258511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 10638431-1202
Definition
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.
736 W RIVERDALE ROAD, Riverdale, UT 84405

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Statera Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Statera Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1174030688
736 W RIVERDALE ROAD
Riverdale, UT 84405
(385) 288-0934
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Statera Chiropractic LLC's NPI number?

The NPI number for Statera Chiropractic LLC is 1497258511. It was assigned to this organization in the NPPES registry on March 15, 2018.

Where is Statera Chiropractic LLC located?

Statera Chiropractic LLC is located at 736 W Riverdale Road, Riverdale, UT 84405. The listed phone number is (385) 288-0934.

What is Statera Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Statera Chiropractic LLC enrolled in Medicare?

Yes. Statera Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Statera Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Statera Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Statera Chiropractic LLC accept?

Health plans from Molina Healthcare list Statera Chiropractic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Statera Chiropractic LLC was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.