Organization Active NPI

Summit View Health Center, LLC

  • Chiropractor
  • West Jordan, UT
National Provider Identifier
1295008589
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4954621-1202 Issued in UT
Legal business name
SUMMIT VIEW HEALTH CENTER, LLC
Practice address
1227 W 9000 S Ste G
West Jordan, UT 84088-9098
Phone
(801) 748-0140
Fax
(801) 748-0141
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Jeffery Gray, DCNPI 1225114606
Title
Chiropractic Physician
Phone
(801) 748-0140

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4954621-1202 UT Primary

Addresses

Primary practice location

1227 W 9000 S Ste G
West Jordan, UT 84088-9098

Mailing address

1227 W 9000 S Ste G
West Jordan, UT 84088-9098
Phone (801) 748-0140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120305000605 UT Part B Supplier - Clinic/Group Practice 5395904742 Receives reassigned benefits from 1 practitioner
Practice locations: West Jordan, UT

National Provider Directory

National Provider Directory

Locations

1227 W 9000 S
Ste G
West Jordan, UT 84088
Phone (801) 748-0140

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1295008589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W 9000 S STE G",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889098",
            "telephone_number": "801-748-0140",
            "fax_number": "801-748-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W 9000 S STE G",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889098",
            "telephone_number": "801-748-0140",
            "fax_number": "801-748-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT VIEW HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "801-748-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "4954621-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.