Organization Active NPI

East Millcreek Chiropractic, LLC

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1407273089
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8770385-1202 Issued in UT
Legal business name
EAST MILLCREEK CHIROPRACTIC, LLC
Practice address
4700 So 900 E
41G
Salt Lake City, UT 84117-4938
Phone
(801) 747-2447
Fax
(801) 716-3532
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Jeffrey C Schramm, DC
Title
Owner/Manager
Phone
(801) 747-2447

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 8770385-1202 UT Primary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 8770385-1202 UT
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 8770385-1202 UT

Addresses

Primary practice location

4700 So 900 E
41G
Salt Lake City, UT 84117-4938

Mailing address

4700 S 900 E
41G
Salt Lake City, UT 84117-4959
Phone (801) 747-2447

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1407273089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S 900 E",
            "address_2": "41G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174959",
            "telephone_number": "801-747-2447",
            "fax_number": "801-716-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SO 900 E",
            "address_2": "41G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174938",
            "telephone_number": "801-747-2447",
            "fax_number": "801-716-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MILLCREEK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "SCHRAMM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-747-2447",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8770385-1202",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "UT",
            "license": "8770385-1202",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "8770385-1202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.