Individual provider Active NPI

Wade C Thompson, D.C.

  • Chiropractor
  • Herriman, UT
National Provider Identifier
1083722706
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4916781-1202 Issued in UT
Practice address
5734 W 13400 S Ste 200
Herriman, UT 84065-6953
Phone
(801) 446-6220
Fax
(801) 446-2166
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4916781-1202 UT Primary

Addresses

Primary practice location

5734 W 13400 S Ste 200
Herriman, UT 84065-6953

Mailing address

5734 W 13400 S Ste 200
Herriman, UT 84065-6953
Phone (801) 446-6220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000437 UT Practitioner - Chiropractic 7214996529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5734 W 13400
Suite 200
Herriman, UT 84096-6953
Phone (801) 448-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4916781-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Valley Physical Therapy and Rehab Current Accepting new patients
Thompson Family Chiropractic, PC Chiropractor CurrentSince Dec 18, 2003 Accepting new patients

Locations

5734 W 13400 S
Ste 200
Herriman, UT 84096
Phone (801) 446-6220

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1083722706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 W 13400 S STE 200",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840656953",
            "telephone_number": "801-446-6220",
            "fax_number": "801-446-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 W 13400 S STE 200",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840656953",
            "telephone_number": "801-446-6220",
            "fax_number": "801-446-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "WADE",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "4916781-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.