Christopher John Bunn, DC
Individual provider Active NPI Chiropractor · South Ogden, UT
NPI 1376651950 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1376651950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 287585-1202 (UT)
- Practice address
- 1496 E 5600 S Ste 5
South Ogden, UT 84403-4823 - Phone
- (016) 892-5928
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO08351 | GA | MD | Chiropractor |
| 287585-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Clinic PC | Chiropractor | Current |
Accepting new patients |
| Skyline Medical LLC | Current | Accepting new patients | |
| Skyline Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
2454 Monroe Blvd
Ogden, UT 84401
Phone (801) 332-9777
1496 E 5600 S
Ste 5
South Ogden, UT 84403
Phone (801) 689-2592
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 287585-1202 | UT | Yes |
| Chiropractor | 111N00000X | CHIRO08351 | GA |
Addresses
Primary practice location
1496 E 5600 S Ste 5
South Ogden, UT 84403-4823
Mailing address
1496 E 5600 S Ste 5
South Ogden, UT 84403-4823
Phone (801) 689-2592
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197164 | Other | UT | ALTIUS ID # |
| 28758512077001 | Other | UT | NON-TRAD BCBS # |
| 28758512000001 | Other | UT | TRAD BCBS ID # |
| 2238351 | Other | UT | UNITED HEALTH CARE |
| 107012083102 | Other | UT | SELECT HEALTH |
Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.