Enoch Family Chiropractic, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

5487543-1202 Issued in UT

Legal business name

ENOCH FAMILY CHIROPRACTIC, PLLC

Practice address

476 E Midvalley Rd Ste 1
Enoch, UT 84721-7674

Phone

(435) 865-0917

NPI assigned

Jan 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan L. Caldwell, D.C.NPI 1912209107

Title

Owner/Chiropractic Physician

Phone

(435) 865-0917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Lee Caldwell, D.C.

  • Chiropractor
  • Enoch, UT
  • NPI 1912209107
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1255636650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 E MIDVALLEY RD STE 1",
            "city": "ENOCH",
            "state": "UT",
            "postal_code": "847217674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 E MIDVALLEY RD STE 1",
            "city": "ENOCH",
            "state": "UT",
            "postal_code": "847217674",
            "telephone_number": "435-865-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOCH FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "435-865-0917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "UT",
            "license": "5487543-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber D Dalton, FNP-C
• Enoch Community Healthcare (Enoch Healthcare)
• Enoch Community Pharmacy (Enoch Drug)
• Enoch Community Pharmacy PC (Enoch Drug)
• Enoch Dental Care, LLC
• Anthony Fuentes
• Jacoy Garfield
• Natalie Rae Haley, MS/MHC
• Jacob Holm, OTR/L WCC
• Joyce Milea Hunt, FNP

• Health Service Clinic/Center in Enoch, UT
• Providers in Enoch, UT by specialty
• Health Service Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.