NPIMap

Organization Active NPI

Millcreek Chiropractic LLC

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1447443973
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6715760-1202 Issued in UT
Legal business name
MILLCREEK CHIROPRACTIC LLC
Practice address
4700 S 900 E Ste 41G
Salt Lake City, UT 84117-4938
Phone
(801) 747-2886
Fax
(801) 716-3532
NPI assigned
Aug 17, 2007
Organization subpart
Yes
Parent organization
EAST MILLCREEK CHIROPRACTIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Thomas E Grant Jr., D.C.NPI 1992769046
Title
Owner Manager
Phone
(801) 474-2447

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 6715760-1202 UT Primary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X 6715760-1202 UT
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 6715760-1202 UT
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 6715760-1202 UT

Addresses

Primary practice location

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

Mailing address

4700 S 900 E Ste 41G
Salt Lake City, UT 84117-4938
Phone (801) 747-2447

National Provider Directory

National Provider Directory

Locations

4700 S 900 E
Ste 41G
Murray, UT 84117
Phone (801) 747-2447

2020 E 3300 S
Ste 16
Salt Lake City, UT 84109
Phone (801) 487-4999

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1447443973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S 900 E STE 41G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174938",
            "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 S 900 E STE 41G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174938",
            "telephone_number": "801-747-2886",
            "fax_number": "801-716-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREEK CHIROPRACTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST MILLCREEK CHIROPRACTIC, LLC",
        "enumeration_date": "2007-08-17",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "801-474-2447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6715760-1202",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "UT",
            "license": "6715760-1202",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "UT",
            "license": "6715760-1202",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "6715760-1202",
            "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 1, 2012; 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.