Individual provider Active NPI

Mark Swain Aldridge, DC

  • Chiropractor
  • Lehi, UT
National Provider Identifier
1386780906
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
328280-1202 Issued in 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
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555765 VA
Chiropractor 111N00000X 328280-1202 UT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000437 UT Practitioner - Chiropractic 2466449301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
328280-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aldridge Family Chiropractic LLC Chiropractor CurrentSince Jun 1, 2012 Accepting new patients
Dry Creek Chiropractic PC PastSince May 22, 2013 Accepting new patients
McDonnel LLC Chiropractor PastSince Nov 24, 2009 Accepting new patients
Virginia Wellness Associates Inc. Chiropractor Past Accepting new patients

Locations

3300 N Running Creek Way
Ste 100
Lehi, UT 84043
Phone (801) 331-6630

3300 N Running Creek Way
Ste E200
Lehi, UT 84043
Phone (801) 471-4962

Organizations & group practices 4

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1386780906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RUNNING CREEK WAY",
            "address_2": "BLD E STE 200",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435563",
            "telephone_number": "801-766-2080",
            "fax_number": "801-766-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RUNNING CREEK WAY",
            "address_2": "BLD E STE 200",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435563",
            "telephone_number": "801-766-2080",
            "fax_number": "801-766-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "MARK",
        "middle_name": "SWAIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555765",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "328280-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.