Individual provider Active NPI

Sam Adams, D.C.

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1356474100
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
363476-1202 Issued in UT
Practice address
4646 Highland Dr
St 101
Salt Lake City, UT 84117-5135
Phone
(801) 277-5665
Fax
(801) 277-5666
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 363476-1202 UT Primary

Addresses

Primary practice location

4646 Highland Dr
St 101
Salt Lake City, UT 84117-5135

Mailing address

4646 Highland Dr
St 101
Salt Lake City, UT 84117-5135
Phone (801) 277-5665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000344 UT Practitioner - Chiropractic 3274697156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3590 W 9000
Suite 240
West Jordan, UT 84088-8864
Phone (801) 406-9596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adams Chiropractic Inc. CurrentSince Jul 8, 2020 Accepting new patients

Locations

3590 W 9000 S
Ste 240
West Jordan, UT 84088
Phone (801) 505-5370

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1356474100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 HIGHLAND DR",
            "address_2": "ST 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175135",
            "telephone_number": "801-277-5665",
            "fax_number": "801-277-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 HIGHLAND DR",
            "address_2": "ST 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175135",
            "telephone_number": "801-277-5665",
            "fax_number": "801-277-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "363476-1202",
            "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 Jul 25, 2008; 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.