Individual provider Active NPI

Francoix Jacques, D.C.

  • Chiropractor
  • South Jordan, UT
National Provider Identifier
1255429742
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
320003-1202 Issued in UT
Practice address
1684 Reunion Ave Ste 100
South Jordan, UT 84095-4609
Phone
(801) 562-0502
Fax
(801) 302-8265
NPI assigned
Oct 10, 2006
Last updated
Aug 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 320003-1202 UT Primary

Addresses

Primary practice location

1684 Reunion Ave Ste 100
South Jordan, UT 84095-4609

Mailing address

1684 Reunion Ave Ste 100
South Jordan, UT 84095-4609
Phone (801) 562-0502

Other identifiers 1

IdentifierTypeStateIssuer
870395551005MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
320003-1202UTMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1255429742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 REUNION AVE STE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954609",
            "telephone_number": "801-562-0502",
            "fax_number": "801-302-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 REUNION AVE STE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954609",
            "telephone_number": "801-562-0502",
            "fax_number": "801-302-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "FRANCOIX",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "320003-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 16, 2007; 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.