Active NPI
Tiffani Tabish Fries, D.C.
- Chiropractor
- Salt Lake City, UT
National Provider Identifier
1114977105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5005891-1202
- Practice address
- 1200 E 3300 S
Salt Lake City, UT 84106-2522 - Phone
- (801) 485-2580
- Fax
- (801) 485-2587
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5005891-1202 | UT | Primary |
Addresses
Primary practice location
1200 E 3300 S
Salt Lake City, UT 84106-2522
Mailing address
1200 E 3300 S
Salt Lake City, UT 84106-2522
Phone (801) 485-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1548 E 4500
Suite 101
Salt Lake City, UT 84117-5209
Phone (801) 676-0243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005891-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
Locations
1200 E 3300 S
Millcreek, UT 84106
Phone (801) 256-6675
1548 E 4500 S
Ste 101
Millcreek, UT 84117
Phone (801) 676-0243
Networks
- UT PPO
- UT PPO D-SNP
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 and National Provider Directory roles.
-
- Chiropractor
- Salt Lake City, UT
- NPI 1245596097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1114977105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E 3300 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062522",
"telephone_number": "801-485-2580",
"fax_number": "801-485-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E 3300 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062522",
"telephone_number": "801-485-2580",
"fax_number": "801-485-2587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "TIFFANI",
"middle_name": "TABISH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "5005891-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.