Individual provider Active NPI

Greg William Kofford, D.C.

  • Chiropractor
  • American Fork, UT
National Provider Identifier
1043307689
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
363413-1202 Issued in UT
Practice address
246 S 1100 E
American Fork, UT 84003-2829
Phone
(801) 756-8833
Fax
(801) 756-9014
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 363413-1202 UT Primary

Addresses

Primary practice location

246 S 1100 E
American Fork, UT 84003-2829

Mailing address

246 S 1100 E
American Fork, UT 84003-2829
Phone (801) 756-8833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000405 UT Practitioner - Chiropractic 7214996800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

246 S 1100
American Fork, UT 84003-2829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilde Chiropractic, LLC Chiropractor CurrentSince Mar 1, 2011 Accepting new patients
Temple View Chiropractic Clinic, Inc CurrentSince Mar 1, 2011 Accepting new patients

Locations

246 S 1100 E
American Fork, UT 84003
Phone (801) 756-8833

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1043307689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032829",
            "telephone_number": "801-756-8833",
            "fax_number": "801-756-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032829",
            "telephone_number": "801-756-8833",
            "fax_number": "801-756-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFORD",
        "first_name": "GREG",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "363413-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.