Organization Active NPI

Bennett Chiropractic

  • Chiropractor
  • Layton, UT
National Provider Identifier
1215268503
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
165905-1202 Issued in UT
Legal business name
BENNETT CHIROPRACTIC
Practice address
195 E Gentile St
Suite 7
Layton, UT 84041-3754
Phone
(801) 546-3600
Fax
(801) 546-0966
NPI assigned
Jan 26, 2010
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Dale J. Bennett, D.C.
Title
Owner
Phone
(801) 546-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 165905-1202 UT Primary

Addresses

Primary practice location

195 E Gentile St
Suite 7
Layton, UT 84041-3754

Mailing address

195 E Gentile St
Suite 7
Layton, UT 84041-3754
Phone (801) 546-3600

Other identifiers 1

IdentifierTypeStateIssuer
000005763OtherUTMEDICARE ID - TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1215268503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E GENTILE ST",
            "address_2": "SUITE 7",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413754",
            "telephone_number": "801-546-3600",
            "fax_number": "801-546-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E GENTILE ST",
            "address_2": "SUITE 7",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413754",
            "telephone_number": "801-546-3600",
            "fax_number": "801-546-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-546-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "165905-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "000005763",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.