NPIMap

Organization Active NPI

Willow Creek Chiropractic Inc.

  • Chiropractor
  • Sandy, UT
National Provider Identifier
1396920641
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
175204-1202 Issued in UT
Legal business name
WILLOW CREEK CHIROPRACTIC INC.
Practice address
8170 Highland Dr
Suite E-2
Sandy, UT 84093-5403
Phone
(801) 942-4999
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Brian J Thomas, D.C.NPI 1235269366
Title
Owner
Phone
(801) 942-4999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 175204-1202 UT Primary

Addresses

Primary practice location

8170 Highland Dr
Suite E-2
Sandy, UT 84093-5403

Mailing address

8170 Highland Dr
Suite E-2
Sandy, UT 84093-5403

National Provider Directory

National Provider Directory

Locations

8170 S Highland Dr
Ste E2
Sandy, UT 84093
Phone (801) 232-3186

Practitioners & affiliated clinicians

Practitioners 4

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1396920641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 HIGHLAND DR",
            "address_2": "SUITE E-2",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840935403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 HIGHLAND DR",
            "address_2": "SUITE E-2",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840935403",
            "telephone_number": "801-942-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CREEK CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-942-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "175204-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.