Active NPI
Trent J. Burrup, D.C.
- Chiropractor
- West Jordan, UT
National Provider Identifier
1063561009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 267200-1202
- Practice address
- 1847 W 9000 S Ste 105
West Jordan, UT 84088-8605 - Phone
- (801) 567-0557
- Fax
- (801) 567-0546
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 267200-1202 | UT | Primary |
Addresses
Primary practice location
1847 W 9000 S Ste 105
West Jordan, UT 84088-8605
Mailing address
14043 Friendship Dr
Herriman, UT 84065-1787
Phone (801) 446-6981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063561009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14043 FRIENDSHIP DR",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840651787",
"telephone_number": "801-446-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 W 9000 S STE 105",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888605",
"telephone_number": "801-567-0557",
"fax_number": "801-567-0546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRUP",
"first_name": "TRENT",
"middle_name": "J.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "267200-1202",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.