Dirk S Woodmansee DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

973507121202 Issued in UT

Legal business name

DIRK S WOODMANSEE DC PC

Practice address

2618 W 7800 S Ste 200
West Jordan, UT 84088-4213

Phone

(801) 562-1531

Fax

(801) 562-1534

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dirk S. Woodmansee, DC

Title

Owner President

Phone

(801) 562-1531

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013052380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 W 7800 S STE 200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884213",
            "telephone_number": "801-562-1531",
            "fax_number": "801-562-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 W 7800 S STE 200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884213",
            "telephone_number": "801-562-1531",
            "fax_number": "801-562-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRK S WOODMANSEE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODMANSEE",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "801-562-1531",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "973507121202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE LIC.",
            "identifier": "973507121202",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in West Jordan, UT
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• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.