Life Source Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIFE SOURCE CHIROPRACTIC, PLLC

Practice address

8777 S Redwood Rd Ste 250
West Jordan, UT 84088-9101

Phone

(801) 251-6498

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Joshua Tyler Adams, D.C.NPI 1265063150

Title

Owner/Operator

Phone

(801) 251-6498

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 4

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

• Joshua Tyler Adams, D.C.

  • Chiropractor
  • West Jordan, UT
  • NPI 1265063150
  Medicare reassignment NPD Authorized official
• Brad Niel Peterson, D.C.

  • Chiropractor
  • South Jordan, UT
  • NPI 1659390417
  NPD
• Micheal Black, L.M.T.

  • Massage Therapist
  • South Jordan, UT
  • NPI 1760511422
  NPD (past)
• Brandon Lamont Neff, D.C.

  • Chiropractor
  • South Jordan, UT
  • NPI 1609839638
  NPD (past)

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1306470430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 S REDWOOD RD STE 250",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889101",
            "telephone_number": "801-251-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 S REDWOOD RD STE 250",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889101",
            "telephone_number": "801-251-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOURCE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "801-251-6498",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Lewis, NCMMT
• Jonathan W. Lewis, D.D.S.
• Liberty Dialysis-Jordan Landing LLC
• Life Launch Centers of South Salt Lake
• Life Rehabilitation, LC
• Life Track Services Inc.
• Lifecare Specialty
• Lily & Sage Counseling, LLC
• Theresa Limberg, LCSW
• Allison Lindorf

• Chiropractor in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.