NPIMap

Organization Active NPI

Adjust Your Life - Chiropractic

  • Chiropractor
  • Washington Terrace, UT
National Provider Identifier
1053586131
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6796488-1202 Issued in UT
Legal business name
ADJUST YOUR LIFE - CHIROPRACTIC
Practice address
146 E 4600 S
Washington Terrace, UT 84405-5946
Phone
(801) 627-2023
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Blake Fenton, D.C.NPI 1245417773
Title
Doctor/Director
Phone
(801) 627-2023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6796488-1202 UT Primary

Addresses

Primary practice location

146 E 4600 S
Washington Terrace, UT 84405-5946

Mailing address

146 E 4600 S
Washington Terrace, UT 84405-5946

National Provider Directory

National Provider Directory

Locations

146 E 4600 S
Washington Terrace, UT 84405
Phone (801) 627-2023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1053586131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E 4600 S",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844055946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E 4600 S",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844055946",
            "telephone_number": "801-627-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST YOUR LIFE - CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "DOCTOR/DIRECTOR",
        "authorized_official_telephone_number": "801-627-2023",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6796488-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Terrace, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.