Utah Chronic Pain Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4806041-1202 Issued in UT

Legal business name

UTAH CHRONIC PAIN CENTER, INC

Practice address

1265 E Fort Union Blvd
Ste 110
Cottonwood Heights, UT 84047-1808

Phone

(801) 996-8863

Fax

(801) 996-8869

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brett Spiers Luddington, D.C.

Title

Clinic Director

Phone

(801) 996-8825

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1336585413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 E FORT UNION BLVD",
            "address_2": "STE 110",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471808",
            "telephone_number": "801-996-8863",
            "fax_number": "801-996-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E FORT UNION BLVD",
            "address_2": "STE 110",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471808",
            "telephone_number": "801-996-8863",
            "fax_number": "801-996-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH CHRONIC PAIN CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "LUDDINGTON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "SPIERS",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "801-996-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "4806041-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Ann Treadwell
• John Trent, PTA
• Emily Tucker
• Uhs of Timpanogos, Inc (Center for Change Cottonwood Heights)
• Jonathan Umbriaco, CMHC
• Utah Spinal Rehabilitaion, PLLC
• Joshua Valdez
• Cassandra Valentine
• Kevin Van Middelburg, ACMHC
• Katherine Nicole Vandenberg, M.D.

• Chiropractor in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.