Family Foundation Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

62621261202 Issued in UT

Legal business name

FAMILY FOUNDATION CHIROPRACTIC PC

Doing business as

Gonstead Family Chiropractic

Practice address

1121 E 3900 S
Ste. 222
Salt Lake City, UT 84124-1214

Phone

(801) 747-0770

Fax

(801) 747-0771

NPI assigned

Jan 10, 2007

Last updated

Jan 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirk Brooks Henderson, D.C.

Title

President

Phone

(801) 842-6382

Specialties & licenses 1

Addresses

Other names 1

• Gonstead Family Chiropractic Doing business as

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1265581706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "STE. 222",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-747-0770",
            "fax_number": "801-747-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "STE. 222",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241214",
            "telephone_number": "801-747-0770",
            "fax_number": "801-747-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOUNDATION CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-842-6382",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "62621261202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonstead Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Lynn Falvo, MHSA, RN C.
• Trisha M Fambro, APRN, FNP-C
• Family Care LLC
• Family Chiropractic Health Center LLC
• Family Enrichment Services LLP
• Family Support Center
• Fammull, Inc. (BrightStar Mountainside)
• Dustin John Fanciullo, M.D.
• Luis B. Fandino, MD
• James C Fang

• Chiropractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.