Individual provider Active NPI

Rebekah Patton, DC

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1326882812
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13974995-1202 Issued in UT
Practice address
466 E 500 S
Salt Lake City, UT 84111-3342
Phone
(801) 363-0060
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13974995-1202 UT Primary

Addresses

Primary practice location

466 E 500 S
Salt Lake City, UT 84111-3342

Mailing address

55 W Utopia Ave Unit 730
South Salt Lake, UT 84115-2593
Phone (860) 333-4316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829004752 UT Practitioner - Chiropractic 3971042235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspen Falls Spinal Care Center LLCGroup PAC ID 8729155932, 4 clinicians

Practice addresses (Care Compare)

466 E 500
Salt Lake City, UT 84111-3342
Phone (801) 363-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13974995-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Dermatology LLC CurrentSince Jun 23, 2024 Accepting new patients
Aspen Falls Spinal Care Center LLC Chiropractor CurrentSince Jul 25, 2024 Accepting new patients

Locations

466 E 500 S
Ste 100
Salt Lake City, UT 84111

466 E 500 S
Salt Lake Cty, UT 84111
Phone (801) 363-0060

Networks

  • UT PPO

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00334

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1326882812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W UTOPIA AVE UNIT 730",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152593",
            "telephone_number": "860-333-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 E 500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113342",
            "telephone_number": "801-363-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "REBEKAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "13974995-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.