Active NPI
Optimum Chiropractic LLC
- Chiropractor
- Draper, UT
National Provider Identifier
1396469508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- OPTIMUM CHIROPRACTIC LLC
- Practice address
- 392 E 12300 S Ste C
Draper, UT 84020-8043 - Phone
- (801) 849-1029
- NPI assigned
- Sep 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrill J Phelps Jr., DC
- Title
- Owner
- Phone
- (801) 504-6370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
392 E 12300 S Ste C
Draper, UT 84020-8043
Mailing address
392 E 12300 S Ste C
Draper, UT 84020-8043
Phone (801) 849-1029
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | billing@hometownchiropractic.com | HOMETOWN HEALTHCARE LLC |
National Provider Directory
National Provider DirectoryLocations
591 N State Road 198
Salem, UT 84653
Phone (385) 200-2047
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Salem, UT
- NPI 1558801258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664496000000",
"number": "1396469508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 E 12300 S STE C",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208043",
"telephone_number": "801-849-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 E 12300 S STE C",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208043",
"telephone_number": "801-849-1029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-30",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A",
"authorized_official_last_name": "PHELPS",
"authorized_official_first_name": "TERRILL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-504-6370",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@hometownchiropractic.com",
"affiliation": "Y",
"affiliationName": "HOMETOWN HEALTHCARE LLC",
"address_1": "591 N State Road 198",
"city": "Salem",
"state": "UT",
"country_code": "US",
"postal_code": "846535668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.