Active NPI
Summit Family Chiropractic and Wellness, LLC
- Chiropractor
- Draper, UT
National Provider Identifier
1275229338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SUMMIT FAMILY CHIROPRACTIC AND WELLNESS, LLC
- Practice address
- 12397 S 300 E Ste 200
Draper, UT 84020-8274 - Phone
- (385) 351-4665
- NPI assigned
- Apr 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Kercher Glasgow, DC
- Title
- Managing Member
- Phone
- (801) 702-0386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
12397 S 300 E Ste 200
Draper, UT 84020-8274
Mailing address
12058 S Tuscany Creek Way
Draper, UT 84020-6117
Phone (801) 702-0386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Draper, UT
- NPI 1508192311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681257600000",
"number": "1275229338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12058 S TUSCANY CREEK WAY",
"city": "DRAPER",
"state": "UT",
"postal_code": "840206117",
"telephone_number": "801-702-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12397 S 300 E STE 200",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208274",
"telephone_number": "385-351-4665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT FAMILY CHIROPRACTIC AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-12",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A",
"authorized_official_last_name": "GLASGOW",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "KERCHER",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "801-702-0386",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
- Hunter Stutz
- Aubry Sudbury
- Ashlyn Kate Sudweeks
- Brittany Marie Summerhays, CRNA
- Amie Summers
- Summit Peak Counseling LLC (Summit Peak Counseling)
- Summit Wellness Clinic LLC
- Suncrest Recovery
- Sundance Canyon East (Sundance Canyon East Outpatient Treatment)
- Sundance Canyon East (Sundance Canyon East Day Treatment)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.