NPIMap

Organization Active NPI

Life Long Wellness PC

  • Chiropractor
  • Kaysville, UT
National Provider Identifier
1336743160
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFE LONG WELLNESS PC
Practice address
73 E 200 N
Kaysville, UT 84037-1952
Phone
(801) 593-8112
Fax
(801) 593-0768
NPI assigned
Nov 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Dr. Jason Atkinson, DC
Title
President
Phone
(801) 593-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

73 E 200 N
Kaysville, UT 84037-1952

Mailing address

757 N 100 E
Kaysville, UT 84037-1252
Phone (801) 540-0437

Other names 1

  • Life Long Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjason@LLWellness.com Direct

National Provider Directory

National Provider Directory

Locations

73 E 200 N
Kaysville, UT 84037
Phone (801) 593-8112

Interoperability endpoints

  • Direct secure messaging: drjason@llwellness.com

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": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1336743160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 N 100 E",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371252",
            "telephone_number": "801-540-0437",
            "fax_number": "801-593-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 E 200 N",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371952",
            "telephone_number": "801-593-8112",
            "fax_number": "801-593-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LONG WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-593-8112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjason@LLWellness.com",
            "affiliation": "N",
            "endpointDescription": "Private Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "73 E 200 N",
            "city": "Kaysville",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840371952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Long Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.