Organization Active NPI

Optimum Chiropractic LLC

  • Chiropractor
  • Draper, UT
National Provider Identifier
1396469508
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Sep 30, 2022

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address billing@hometownchiropractic.com HOMETOWN HEALTHCARE LLC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.