Active NPI
Crossroads Chiropractic LLC
- Chiropractor
- Clearfield, UT
National Provider Identifier
1427198779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2775121202
- Legal business name
- CROSSROADS CHIROPRACTIC LLC
- Practice address
- 610 N Main St Ste 5a
Clearfield, UT 84015-3200 - Phone
- (801) 773-7448
- Fax
- (801) 773-7448
- NPI assigned
- Feb 7, 2007
- Last updated
- Feb 1, 2008
- 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
- Dr. Mark Lee Baker, D.C.
- Title
- Doctor
- Phone
- (801) 773-7448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2775121202 | UT | Primary |
Addresses
Primary practice location
610 N Main St Ste 5a
Clearfield, UT 84015-3200
Mailing address
610 N Main St Ste 5a
Clearfield, UT 84015-3200
Phone (801) 773-7448
National Provider Directory
National Provider DirectoryLocations
610 N Main St
#5A
Clearfield, UT 84015
Phone (801) 773-7448
610 N Main St
Ste 5A
Clearfield, UT 84015
Phone (801) 773-7448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201824000000",
"number": "1427198779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N MAIN ST STE 5A",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840153200",
"telephone_number": "801-773-7448",
"fax_number": "801-773-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MAIN ST STE 5A",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840153200",
"telephone_number": "801-773-7448",
"fax_number": "801-773-7448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2008-02-01",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "801-773-7448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "2775121202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.