Active NPI
Chris Jared Harbrecht, D.C.
- Chiropractor
- Sandy, UT
National Provider Identifier
1336351444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6075804-1202
- Practice address
- 9035 S 1300 E
Ste 1
Sandy, UT 84094-3132 - Phone
- (801) 569-8787
- Fax
- (801) 569-0376
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6075804-1202 | UT | Primary |
Addresses
Primary practice location
9035 S 1300 E
Ste 1
Sandy, UT 84094-3132
Mailing address
6717 S 900 E
Ste 101
Midvale, UT 84047-5755
Phone (801) 432-7511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 534647011005 | Medicaid | UT | |
| 350011548 | Other | UT | RAIL ROAD RETIREMENT |
| 4550443 | Other | UT | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6717 S 900
Suite 101
Midvale, UT 84047-5755
Phone (801) 432-7511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6075804-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Place LLC | Chiropractor | Current | Accepting new patients |
| Theodore L Conger D.C., Inc | Chiropractor | Past | Accepting new patients |
Locations
6717 S 900 E
Ste 101
Midvale, UT 84047
Phone (801) 268-8051
Networks
- UT PPO
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.
-
- Chiropractor
- Midvale, UT
- NPI 1619078748
-
- Chiropractor
- Salt Lake City, UT
- NPI 1386859817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1336351444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6717 S 900 E",
"address_2": "STE 101",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840475755",
"telephone_number": "801-432-7511",
"fax_number": "801-432-7516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9035 S 1300 E",
"address_2": "STE 1",
"city": "SANDY",
"state": "UT",
"postal_code": "840943132",
"telephone_number": "801-569-8787",
"fax_number": "801-569-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBRECHT",
"first_name": "CHRIS",
"middle_name": "JARED",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "6075804-1202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "534647011005",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD RETIREMENT",
"identifier": "350011548",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4550443",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.