Great Basin Spine and Sports
NPI 1639485014 · Chiropractor · Washington Terrace, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Basin Spine and Sports is a Chiropractor organization in Washington Terrace, UT (NPI 1639485014).
Provider details
- NPI number
- 1639485014
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Michael Graves, Single Member(801) 627-2023
- License
- 7617785-1202 (UT)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-24
- Last updated
- 2010-12-28
Frequently asked questions
- What is Great Basin Spine and Sports's NPI number?
- Great Basin Spine and Sports's National Provider Identifier (NPI) is 1639485014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Basin Spine and Sports?
- Great Basin Spine and Sports is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Great Basin Spine and Sports located?
- Great Basin Spine and Sports's practice location on file with NPPES is 134 E 4600 S, Washington Terrace, UT 84405-5946.
- What is Great Basin Spine and Sports's phone number?
- The practice phone number listed in the NPPES registry for Great Basin Spine and Sports is (801) 627-2023.
- Does Great Basin Spine and Sports accept Medicare?
- Great Basin Spine and Sports is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Basin Spine and Sports?
- The authorized official listed on Great Basin Spine and Sports's NPPES record is Michael Graves, Single Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Basin Spine and Sports's NPI active?
- Yes — Great Basin Spine and Sports's NPI (1639485014) is active in the NPPES registry as of the last update on 2010-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.