Nathan Bennett, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7785070-1202 Issued in UT

Practice address

124 S Fairfield Rd Ste B
Layton, UT 84041-7106

Phone

(801) 774-0266

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1003447418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 W THOMAS CT",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840751127",
            "telephone_number": "801-289-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S FAIRFIELD RD STE B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417106",
            "telephone_number": "801-774-0266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Mary Eliza Trce NW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300641096",
            "country_code": "US",
            "telephone_number": "770-422-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10232",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7785070-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT PARTICIPATING IN ANY INSURANCE NETWORKS",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bennett Chiropractic
• Breanna Bennett, RBT
• Jasmine Bennett
• Katie Bennett
• Krista Colleen Bennett, PHARMD
• Jason Bennington
• Cynthia Shaw Benson, FNP-C
• Paul Benson, MD, DMD
• Bridger Barrett Bentley, PA
• Jennica Bentley

• Chiropractor in Layton, UT
• Providers in Layton, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.