Organization Active NPI

Family Chiropractic, PC

  • Chiropractor
  • Roy, UT
National Provider Identifier
1073798278
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
370533-1202 Issued in UT
Legal business name
FAMILY CHIROPRACTIC, PC
Practice address
1920 W. 5200 S. #5
Roy, UT 84067-3452
Phone
(801) 525-0400
Fax
(801) 525-1105
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Jeffery Child, D.C.
Title
Owner
Phone
(801) 525-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 370533-1202 UT Primary

Addresses

Primary practice location

1920 W. 5200 S. #5
Roy, UT 84067-3452

Mailing address

1920 W 5200 S Ste 5
Roy, UT 84067-3471
Phone (801) 525-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050822000187 UT Part B Supplier - Clinic/Group Practice 1951331784 Receives reassigned benefits from 1 practitioner
Practice locations: Roy, UT

National Provider Directory

National Provider Directory

Locations

1920 W 5200 S
Ste 5
Roy, UT 84067
Phone (801) 525-0400

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1073798278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W 5200 S STE 5",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840673471",
            "telephone_number": "801-525-0400",
            "fax_number": "801-525-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W. 5200 S. #5",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840673452",
            "telephone_number": "801-525-0400",
            "fax_number": "801-525-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "CHILD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-525-0400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "370533-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.