Organization Active NPI

Shon James Goulding DC PC

  • Chiropractor
  • Layton, UT
National Provider Identifier
1033372990
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHON JAMES GOULDING DC PC
Doing business as
Goulding Chiropractic
Practice address
880 Heritage Park Blvd
Suite 120
Layton, UT 84041
Phone
(801) 614-0550
Fax
(801) 614-0554
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mr. Shon James Goulding, DCNPI 1861433294
Title
President
Phone
(801) 614-0550

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 Primary

Addresses

Primary practice location

880 Heritage Park Blvd
Suite 120
Layton, UT 84041

Mailing address

880 Heritage Park Blvd
Suite 120
Layton, UT 84041
Phone (801) 614-0550

Other names 1

  • Goulding Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080717000748 UT Part B Supplier - Clinic/Group Practice 8123191525 Receives reassigned benefits from 2 practitioners
Practice locations: Layton, UT

National Provider Directory

National Provider Directory

Locations

880 Heritage Park Blvd
Layton, UT 84041
Phone (801) 614-0550

880 Heritage Park Blvd
Ste 120
Layton, UT 84041
Phone (801) 614-0550

365 W 1550 N
Ste D
Layton, UT 84041
Phone (801) 614-0550

Practitioners & affiliated clinicians

Practitioners 2

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": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1033372990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 HERITAGE PARK BLVD",
            "address_2": "SUITE 120",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-614-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 HERITAGE PARK BLVD",
            "address_2": "SUITE 120",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-614-0550",
            "fax_number": "801-614-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHON JAMES GOULDING DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "GOULDING",
        "authorized_official_first_name": "SHON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-614-0550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goulding Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.