Organization Active NPI

Jeremy P. Wimmer Chiropractic, LLC

Doing business as Summit Chiropractic and Wellness

  • Chiropractor
  • Murray, UT
National Provider Identifier
1023328432
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
343365-1202 Issued in UT
Legal business name
JEREMY P. WIMMER CHIROPRACTIC, LLC
Doing business as
Summit Chiropractic and Wellness
Practice address
6095 S Fashion Blvd Ste 130
Murray, UT 84107-7383
Phone
(801) 506-7890
Fax
(801) 506-7891
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Jeremy P Wimmer, D.C.NPI 1659318632
Title
Owner
Phone
(801) 506-7890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 343365-1202 UT Primary

Addresses

Primary practice location

6095 S Fashion Blvd Ste 130
Murray, UT 84107-7383

Mailing address

6095 S Fashion Blvd Ste 130
Murray, UT 84107-7383
Phone (801) 506-7890

Other names 1

  • Summit Chiropractic and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101221001184 UT Part B Supplier - Clinic/Group Practice 2668660325 Receives reassigned benefits from 1 practitioner
Practice locations: Midvale, UT

National Provider Directory

National Provider Directory

Locations

6095 S Fashion Blvd
Ste 130
Salt Lake Cty, UT 84107
Phone (801) 262-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1023328432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 S FASHION BLVD STE 130",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077383",
            "telephone_number": "801-506-7890",
            "fax_number": "801-506-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 S FASHION BLVD STE 130",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077383",
            "telephone_number": "801-506-7890",
            "fax_number": "801-506-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY P. WIMMER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "WIMMER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-506-7890",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "343365-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.