NPIMap

Organization Active NPI

Gonstead Family Chiropractic

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1366713307
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5309691-1202 Issued in UT
Legal business name
GONSTEAD FAMILY CHIROPRACTIC
Practice address
1154 S. 300 W.
Suite C
Salt Lake City, UT 84101
Phone
(801) 425-2065
Fax
(801) 742-8540
NPI assigned
Jan 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Dr. Spencer Darrell Cheney, D.C.
Title
Owner
Phone
(801) 425-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5309691-1202 UT Primary

Addresses

Primary practice location

1154 S. 300 W.
Suite C
Salt Lake City, UT 84101

Mailing address

1154 S. 300 W.
Suite C
Salt Lake City, UT 84101
Phone (801) 425-2065

National Provider Directory

National Provider Directory

Locations

1154 S 300 W
Ste C
Salt Lake City, UT 84101
Phone (801) 336-7475

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1366713307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 S. 300 W.",
            "address_2": "SUITE C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84101",
            "telephone_number": "801-425-2065",
            "fax_number": "801-742-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 S. 300 W.",
            "address_2": "SUITE C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84101",
            "telephone_number": "801-425-2065",
            "fax_number": "801-742-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONSTEAD FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "CHENEY",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-425-2065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5309691-1202",
            "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 Apr 15, 2016; 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.