Individual provider Active NPI

Joseph Swenson, DC

  • Chiropractor
  • Magna, UT
National Provider Identifier
1194843698
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1763011202 Issued in UT
Practice address
3564 S 7200 W
Suite D
Magna, UT 84044-3507
Phone
(801) 508-7246
Fax
(801) 508-1902
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1763011202 UT Primary

Addresses

Primary practice location

3564 S 7200 W
Suite D
Magna, UT 84044-3507

Mailing address

5663 Iris CT
Stansbury Park, UT 84074-7403
Phone (801) 565-0631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000184 UT Practitioner - Chiropractic 5597706606

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3564 S 7200
Suite D
Magna, UT 84044-3507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1763011202UTMDChiropractor

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Swenson Chiropractic LLC Chiropractor CurrentSince Apr 1, 2005 Accepting new patients

Locations

3564 S 7200 W
Ste D
Magna, UT 84044
Phone (801) 508-7246

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1194843698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5663 IRIS CT",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840747403",
            "telephone_number": "801-565-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 S 7200 W",
            "address_2": "SUITE D",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840443507",
            "telephone_number": "801-508-7246",
            "fax_number": "801-508-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "1763011202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magna, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.

Verify at the official NPI Registry.