Utah Wellness Solutions

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UTAH WELLNESS SOLUTIONS

Practice address

1664 W Towne Center Dr Ste D
South Jordan, UT 84095-8612

Phone

(801) 495-4444

Fax

(801) 495-4444

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michael Shane Watt, DC

Title

Owner/ Clinic Director

Phone

(801) 495-4444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M. Shane Watt, DC

  • Chiropractor
  • South Jordan, UT
  • NPI 1609935956
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1083226237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 W TOWNE CENTER DR STE D",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958612",
            "telephone_number": "801-495-4444",
            "fax_number": "801-446-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 W TOWNE CENTER DR STE D",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958612",
            "telephone_number": "801-495-4444",
            "fax_number": "801-495-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH WELLNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/ CLINIC DIRECTOR",
        "authorized_official_telephone_number": "801-495-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah CVS Pharmacy LLC
• Utah CVS Pharmacy, L.L.C.
• Utah Facial & Oral Surgery
• Utah Pain Relief Institute South, LLC
• Utah Vision Development Center, LLC
• Utopia Family Services
• Rachot K Vacharothone, MD
• Edward Douglas Vaka'Uta, LCSW
• Echo Valbuena, LCSW
• Valere Behavioral Health LLC

• Clinic/Center in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.