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GREAT BASIN SPINE AND SPORTS
NPI 1639485014
Chiropractor in Washington Terrace, UT

Active since August 24, 2010
134 E 4600 S, WASHINGTON TERRACE, UT 84405(801) 627-2023 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Great Basin Spine And Sports NPPES

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

GREAT BASIN SPINE AND SPORTS (NPI 1639485014) is a healthcare organization registered as a chiropractor in Washington Terrace, Utah and active in the NPI registry since August 2010. The organization lists Michael Gregory Graves, Single Member, as its authorized official.

NPPES Registry Identity

NPI1639485014
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREAT BASIN SPINE AND SPORTS
Location Address134 E 4600 SWashington Terrace, UT 84405-5946
Mailing Address134 E 4600 SWashington Terrace, UT 84405-5946 · (801) 627-2023
Phone(801) 627-2023
Organization SubpartNo
Authorized OfficialMichael Gregory GravesSingle Member · (801) 627-2023
Enumeration DateAugust 24, 2010
Last NPPES UpdateDecember 28, 2010
✔ NPI 1639485014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 7617785-1202
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.
134 E 4600 S, Washington Terrace, UT 84405
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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

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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)

Great Basin Spine And Sports 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 Great Basin Spine And Sports, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Graves, D.C.
Chiropractic
NPI 1932412012
134 E 4600 S
Washington Terrace, UT 84405
(801) 627-2023
✔ Accepts Medicare0.2 mi

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 Great Basin Spine And Sports's NPI number?

The NPI number for Great Basin Spine And Sports is 1639485014. It was assigned to this organization in the NPPES registry on August 24, 2010.

Where is Great Basin Spine And Sports located?

Great Basin Spine And Sports is located at 134 E 4600 S, Washington Terrace, UT 84405. The listed phone number is (801) 627-2023.

What is Great Basin Spine And Sports's specialty?

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

Is Great Basin Spine And Sports enrolled in Medicare?

Yes. Great Basin Spine And Sports is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Basin Spine And Sports?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Great Basin Spine And Sports. 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 Great Basin Spine And Sports accept?

Health plans from University of Utah Health Plans list Great Basin Spine And Sports 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 Great Basin Spine And Sports was last updated on December 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.