Organization Active NPI

Christensen Chiropractic PC

  • Chiropractor
  • Farmington, UT
National Provider Identifier
1174637672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5329340-1202 Issued in UT
Legal business name
CHRISTENSEN CHIROPRACTIC PC
Practice address
630 W Shephard Lane
Farmington, UT 84025-3934
Phone
(801) 447-8680
Fax
(801) 447-4211
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joshua Christensen, DCNPI 1568401727
Title
Chiropractor
Phone
(801) 447-8680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5329340-1202 UT Primary

Addresses

Primary practice location

630 W Shephard Lane
Farmington, UT 84025-3934

Mailing address

630 W. Shephard Lane #102
Farmington, UT 84025-3934
Phone (801) 447-8680

Other identifiers 1

IdentifierTypeStateIssuer
53293401203001OtherUTBCBS OF UTAH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000333 UT Part B Supplier - Clinic/Group Practice 2567649411 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, UT

National Provider Directory

National Provider Directory

Locations

1361 N 1075 W
Ste 15
Farmington, UT 84025
Phone (801) 451-6010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174637672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W. SHEPHARD LANE #102",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253934",
            "telephone_number": "801-447-8680",
            "fax_number": "801-447-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W SHEPHARD LANE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253934",
            "telephone_number": "801-447-8680",
            "fax_number": "801-447-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-447-8680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5329340-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF UTAH",
            "identifier": "53293401203001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.