Organization Active NPI

Peak Chiropractic Health Clinic LLC

  • Chiropractor
  • South Ogden, UT
National Provider Identifier
1366678583
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7254418-1202 Issued in UT
Legal business name
PEAK CHIROPRACTIC HEALTH CLINIC LLC
Practice address
942 Chambers St Ste 11
South Ogden, UT 84403-5131
Phone
(801) 475-0360
Fax
(801) 475-0358
NPI assigned
Jun 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Dr. Jeremy James Griffin, D.C.NPI 1043310840
Title
Doctor/Owner
Phone
(801) 475-0360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7254418-1202 UT Primary

Addresses

Primary practice location

942 Chambers St Ste 11
South Ogden, UT 84403-5131

Mailing address

942 Chambers St Ste 11
South Ogden, UT 84403-5131
Phone (801) 475-0360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091202000402 UT Part B Supplier - Clinic/Group Practice 6002955150 Receives reassigned benefits from 1 practitioner
Practice locations: South Ogden, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1366678583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 CHAMBERS ST STE 11",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035131",
            "telephone_number": "801-475-0360",
            "fax_number": "801-475-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 CHAMBERS ST STE 11",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035131",
            "telephone_number": "801-475-0360",
            "fax_number": "801-475-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK CHIROPRACTIC HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "801-475-0360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7254418-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.