Mark Swain Aldridge, DC
Individual provider Active NPI Chiropractor · Lehi, UT
NPI 1386780906 · NPPES record last updated Jan 6, 2010
Key facts
- NPI
- 1386780906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 328280-1202 (UT)
- Practice address
- 3300 Running Creek Way
BLD E Ste 200
Lehi, UT 84043-5563 - Phone
- (801) 766-2080
- Fax
- (801) 766-4776
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3300 N Running Creek Way
BLDG E Suite 200
Lehi, UT 84043-5563
Phone (801) 471-4962
3300 N Running Creek Way BLD E
Suite 200
Lehi, UT 84043-5563
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100129000437 | UT | Practitioner - Chiropractic | 2466449301 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328280-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldridge Family Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| McDonnel LLC | Chiropractor | Past |
Accepting new patients |
| Virginia Wellness Associates Inc. | Chiropractor | Past | Accepting new patients |
| Dry Creek Chiropractic PC | Past |
Accepting new patients |
Locations
3300 N Running Creek Way
Ste E200
Lehi, UT 84043
Phone (801) 471-4962
3300 N Running Creek Way
Ste 100
Lehi, UT 84043
Phone (801) 331-6630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104555765 | VA | |
| Chiropractor | 111N00000X | 328280-1202 | UT | Yes |
Addresses
Primary practice location
3300 Running Creek Way
BLD E Ste 200
Lehi, UT 84043-5563
Mailing address
3300 Running Creek Way
BLD E Ste 200
Lehi, UT 84043-5563
Phone (801) 766-2080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453363 | Other | VA | ANTHEM PROVIDER NUMBER |
| 32-0003223 | Other | VA | EMPLOYER IDENTIFICATION |
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.