NPIMap

Organization Active NPI

Spanish Fork Family Chiropractic

  • Primary Care Clinic/Center
  • Spanish Fork, UT
National Provider Identifier
1073892659
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
7952725-1202 Issued in UT
Legal business name
SPANISH FORK FAMILY CHIROPRACTIC
Practice address
729 N Main St
Spanish Fork, UT 84660-1146
Phone
(801) 804-5342
Fax
(877) 825-7020
NPI assigned
Aug 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. Christopher Cade Broderick, D.C.
Title
Manager
Phone
(801) 804-5342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 7952725-1202 UT Primary

Addresses

Primary practice location

729 N Main St
Spanish Fork, UT 84660-1146

Mailing address

729 N Main St
Spanish Fork, UT 84660-1146
Phone (801) 804-5342

National Provider Directory

National Provider Directory

Locations

729 N Main St
Spanish Fork, UT 84660
Phone (801) 804-5342

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1073892659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601146",
            "telephone_number": "801-804-5342",
            "fax_number": "877-825-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601146",
            "telephone_number": "801-804-5342",
            "fax_number": "877-825-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH FORK FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CADE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-804-5342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "7952725-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.