Organization Active NPI

Synergy Chiropractic PLLC

  • Chiropractor
  • West Valley City, UT
National Provider Identifier
1376908723
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9242074-1202 Issued in UT
Legal business name
SYNERGY CHIROPRACTIC PLLC
Doing business as
Headache Relief Chiopractic and Massage
Practice address
2101 W 3500 S
West Valley City, UT 84119-3441
Phone
(801) 906-8256
Fax
(801) 906-8256
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Dr. Nathan Jeremy Black, D.C.
Title
Chiropractor
Phone
(801) 906-8256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9242074-1202 UT Primary

Addresses

Primary practice location

2101 W 3500 S
West Valley City, UT 84119-3441

Mailing address

287 N 300 W
Heber City, UT 84032-1634
Phone (801) 906-8256

Other names 1

  • Headache Relief Chiopractic and Massage Doing business as

National Provider Directory

National Provider Directory

Locations

2101 W 3500 S
West Valley City, UT 84119
Phone (801) 906-8256

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1376908723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 N 300 W",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321634",
            "telephone_number": "801-906-8256",
            "fax_number": "801-906-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193441",
            "telephone_number": "801-906-8256",
            "fax_number": "801-906-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-906-8256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "9242074-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Headache Relief Chiopractic and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 29, 2015; 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.