Individual provider Active NPI

Austin Atkinson, DC

  • Chiropractor
  • Clinton, UT
National Provider Identifier
1114678653
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12609602-1202 Issued in UT
Practice address
1448 N 2000 W Ste 12
Clinton, UT 84015-8388
Phone
(801) 593-8112
Fax
(801) 593-0768
NPI assigned
Jan 17, 2022
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Chiropractor 111N00000X 12609602-1202 UT Primary

Addresses

Primary practice location

1448 N 2000 W Ste 12
Clinton, UT 84015-8388

Mailing address

73 E 200 N
Kaysville, UT 84037-1952
Phone (801) 593-8112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005001117 UT Practitioner - Chiropractic 2961888532 Practice locations: Clinton, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12609602-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atkinson Wellness PLLC Chiropractor CurrentSince Aug 17, 2025 Accepting new patients

Locations

1448 N 2000 W
Ste 12
Clinton, UT 84015
Phone (801) 593-8112

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1114678653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 E 200 N",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371952",
            "telephone_number": "801-593-8112",
            "fax_number": "801-593-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N 2000 W STE 12",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158388",
            "telephone_number": "801-593-8112",
            "fax_number": "801-593-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "12609602-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.