Individual provider Active NPI

Lance William Walker, D.C.

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1376594333
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
52829301202 Issued in UT
Practice address
5204 S Redwood Rd
Suite B
Salt Lake City, UT 84123-4217
Phone
(801) 417-5700
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 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 52829301202 UT Primary

Addresses

Primary practice location

5204 S Redwood Rd
Suite B
Salt Lake City, UT 84123-4217

Mailing address

5204 S Redwood Rd
Suite B
Salt Lake City, UT 84123-4217
Phone (801) 417-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
622WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Chiropractic Health Care Chiropractor PastSince Jan 1, 1990 Accepting new patients
Green Chiropractic Clinic PC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1376594333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 S REDWOOD RD",
            "address_2": "SUITE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841234217",
            "telephone_number": "801-417-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 S REDWOOD RD",
            "address_2": "SUITE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841234217",
            "telephone_number": "801-417-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LANCE",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "52829301202",
            "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 Jun 25, 2008; 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.