NPIMap

Organization Active NPI

Mack Chiropractic PC

  • Chiropractor
  • South Jordan, UT
National Provider Identifier
1225276033
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7130076-1202 Issued in UT
Legal business name
MACK CHIROPRACTIC PC
Doing business as
Mack Chiropractic
Practice address
912 W Baxter Dr
Suite 120
South Jordan, UT 84095
Phone
(801) 254-5800
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Denny J Mack, DC
Title
President
Phone
(801) 756-7593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7130076-1202 UT Primary

Addresses

Primary practice location

912 W Baxter Dr
Suite 120
South Jordan, UT 84095

Mailing address

5505 W 10080 N
Highland, UT 84003-9162
Phone (801) 756-7593

Other names 1

  • Mack Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1225276033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W 10080 N",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039162",
            "telephone_number": "801-756-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W BAXTER DR",
            "address_2": "SUITE 120",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "801-254-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-756-7593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7130076-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mack Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.