Organization Active NPI

Chiropractic Medicine

  • Health Service Clinic/Center
  • West Valley City, UT
National Provider Identifier
1376680603
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
176317-1202 Issued in UT
Legal business name
CHIROPRACTIC MEDICINE
Practice address
3646 S. Redwood Rd,
Suite W-1
West Valley City, UT 84119
Phone
(801) 974-5644
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wilson Richard Barton, DC, MD
Title
Overseer
Phone
(801) 974-5644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 176317-1202 UT Primary

Addresses

Primary practice location

3646 S. Redwood Rd,
Suite W-1
West Valley City, UT 84119

Mailing address

3646 S. Redwood Rd,
Suite W-1
West Valley City, UT 84119

National Provider Directory

National Provider Directory

Locations

3646 S Redwood Rd
Ste W1
West Valley City, UT 84119
Phone (801) 746-1436

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376680603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 S. REDWOOD RD,",
            "address_2": "SUITE W-1",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "84119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 S. REDWOOD RD,",
            "address_2": "SUITE W-1",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-974-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OVERSEER",
        "authorized_official_telephone_number": "801-974-5644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "UT",
            "license": "176317-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.