Organization Active NPI

Park Family Chiropractic PC

  • Chiropractor
  • Ogden, UT
National Provider Identifier
1174767164
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2374236-1202 Issued in UT
Legal business name
PARK FAMILY CHIROPRACTIC PC
Practice address
1096 36TH St
Ogden, UT 84403-2035
Phone
(801) 393-9242
Fax
(801) 394-3451
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Dr. James R Park, DC
Title
President
Phone
(801) 393-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2374236-1202 UT Primary

Addresses

Primary practice location

1096 36TH St
Ogden, UT 84403-2035

Mailing address

1096 36TH St
Ogden, UT 84403-2035
Phone (801) 393-9242

National Provider Directory

National Provider Directory

Locations

1096 36th St
Ogden, UT 84403
Phone (801) 393-2424

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1174767164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 36TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032035",
            "telephone_number": "801-393-9242",
            "fax_number": "801-394-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 36TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032035",
            "telephone_number": "801-393-9242",
            "fax_number": "801-394-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-393-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "2374236-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.