Organization Active NPI

Atlas Clinic PC

  • Chiropractor
  • South Ogden, UT
National Provider Identifier
1063274348
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ATLAS CLINIC PC
Practice address
1496 E 5600 S Ste 5
South Ogden, UT 84403-4823
Phone
(801) 689-2592
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Mrs. Jennifer Bunn
Title
Registered Agent
Phone
(801) 391-2529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1496 E 5600 S Ste 5
South Ogden, UT 84403-4823

Mailing address

1496 E 5600 S Ste 5
South Ogden, UT 84403-4823
Phone (801) 689-2592

National Provider Directory

National Provider Directory

Locations

1496 E 5600 S
Ste 5
South Ogden, UT 84403
Phone (801) 689-2592

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1063274348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 E 5600 S STE 5",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034823",
            "telephone_number": "801-689-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 E 5600 S STE 5",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034823",
            "telephone_number": "801-689-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "801-391-2529",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.