Individual provider Active NPI

John R Whitehead, D.C.

  • Chiropractor
  • South Jordan, UT
National Provider Identifier
1265760334
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
48622601201 Issued in UT
Practice address
11488 Open View LN
South Jordan, UT 84095-8790
Phone
(801) 455-5858
Fax
(801) 302-1233
NPI assigned
Nov 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 48622601201 UT Primary

Addresses

Primary practice location

11488 Open View LN
South Jordan, UT 84095-8790

Mailing address

11488 Open View LN
South Jordan, UT 84095-8790
Phone (801) 455-5858

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48622601201UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
WW Health Care LLC Current Accepting new patients
South Valley Physical Therapy and Rehab PastSince Mar 3, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1265760334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11488 OPEN VIEW LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958790",
            "telephone_number": "801-455-5858",
            "fax_number": "801-302-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11488 OPEN VIEW LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958790",
            "telephone_number": "801-455-5858",
            "fax_number": "801-302-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "48622601201",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 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.