Individual provider Active NPI

Nicholas Takis, DC

  • Chiropractor
  • South Jordan, UT
National Provider Identifier
1033986864
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13352850-1202 Issued in UT
Practice address
10352 S River Heights Dr Ste 102
South Jordan, UT 84095-9013
Phone
(801) 302-0301
NPI assigned
Dec 12, 2023
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13352850-1202 UT Primary

Addresses

Primary practice location

10352 S River Heights Dr Ste 102
South Jordan, UT 84095-9013

Mailing address

10352 S River Heights Dr Ste 102
South Jordan, UT 84095-9013
Phone (801) 302-0301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229002907 UT Practitioner - Chiropractic 0042660235 Practice locations: South Jordan, UT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10352 S River Heights Dr
Suite 102
South Jordan, UT 84095-9013
Phone (801) 302-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyworks Chiropractic Center Inc Chiropractor PastSince Jan 1, 2008 Accepting new patients

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1033986864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10352 S RIVER HEIGHTS DR STE 102",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959013",
            "telephone_number": "801-302-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10352 S RIVER HEIGHTS DR STE 102",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959013",
            "telephone_number": "801-302-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKIS",
        "first_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "13352850-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.