Body Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9537864-1202 Issued in UT

Legal business name

BODY CHIROPRACTIC PLLC

Practice address

11075 S State St Ste 11B
Sandy, UT 84070-5190

Phone

(801) 871-5652

Fax

(888) 505-5245

NPI assigned

Mar 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Herrera Portillo, D.C.NPI 1518335066

Title

Owner

Phone

(801) 871-5652

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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

• Kristina Herrera Portillo, D.C.

  • Chiropractor
  • Sandy, UT
  • NPI 1518335066
  Medicare reassignment Care Compare group NPD Authorized official
• Brett B Anderson, D.C,

  • Chiropractor
  • Sandy, UT
  • NPI 1528412582
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1124480280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95307",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950307",
            "telephone_number": "559-393-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 11B",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705190",
            "telephone_number": "801-871-5652",
            "fax_number": "888-505-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-27",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "PORTILLO",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "HERRERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-871-5652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "9537864-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bma Servies, PLLC
• Carolee Boam, RN
• Bod Squad, LLC, the (Bod Squad, the)
• William Hobson Bodell, MS
• Body Balance Massage
• David Robert Boettger, M.D.
• Sonnet L Bonck, RD
• Bond Pelvic Health LLC
• Alison Leigh Booth, LCSW
• Maria Borrero, MD

• Chiropractor in Sandy, UT
• Providers in Sandy, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.