Individual provider Active NPI

Christopher John Bunn, DC

  • Chiropractor
  • South Ogden, UT
National Provider Identifier
1376651950
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
287585-1202 Issued in UT
Practice address
1496 E 5600 S Ste 5
South Ogden, UT 84403-4823
Phone
(016) 892-5928
NPI assigned
Aug 25, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 287585-1202 UT Primary
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

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
CHIRO08351GAMDChiropractor
287585-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Medical LLC Current Accepting new patients
Atlas Clinic PC Chiropractor CurrentSince Jan 28, 2024 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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1376651950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 E 5600 S STE 5",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034823",
            "telephone_number": "801-689-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 E 5600 S STE 5",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034823",
            "telephone_number": "016-892-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "287585-1202",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08351",
            "primary": false
        }
    ],
    "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 Jan 23, 2024; 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.