NPIMap

Organization Active NPI

Babcock Wellness

  • Chiropractor
  • West Jordan, UT
National Provider Identifier
1053583880
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
51894851202 Issued in UT
Legal business name
BABCOCK WELLNESS
Practice address
9265-A S Redwood Rd
West Jordan, UT 84088
Phone
(810) 565-1411
Fax
(801) 565-1411
NPI assigned
Apr 1, 2008
Organization subpart
Yes
Parent organization
BABCOCK WELLNESS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Brandon L Babcock, DCNPI 1538321922
Title
Owner
Phone
(801) 565-1411

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 51894851202 UT Primary

Addresses

Primary practice location

9265-A S Redwood Rd
West Jordan, UT 84088

Mailing address

9265-A S Redwood Rd
West Jordan, UT 84088
Phone (810) 565-1411

National Provider Directory

National Provider Directory
Tax ID family
Unitedhealthcare Insurance Company Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9265 S Redwood Rd
Ste A
West Jordan, UT 84088
Phone (801) 565-1411

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1053583880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265-A S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84088",
            "telephone_number": "810-565-1411",
            "fax_number": "801-565-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9265-A S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84088",
            "telephone_number": "810-565-1411",
            "fax_number": "801-565-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABCOCK WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BABCOCK WELLNESS CLINIC",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-565-1411",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "51894851202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.