Organization Active NPI

Freedom Integrated Medicine LLC

  • Health Service Clinic/Center
  • South Jordan, UT
National Provider Identifier
1447911441
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FREEDOM INTEGRATED MEDICINE LLC
Practice address
4775 W Daybreak Pkwy Ste 102
South Jordan, UT 84009-5139
Phone
(801) 571-1338
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Dr. Steven Chalk, DC
Title
Owner
Phone
(801) 571-1338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4775 W Daybreak Pkwy Ste 102
South Jordan, UT 84009-5139

Mailing address

4775 W Daybreak Pkwy Ste 102
South Jordan, UT 84009-5139
Phone (801) 571-1338

National Provider Directory

National Provider Directory

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": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1447911441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 W DAYBREAK PKWY STE 102",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095139",
            "telephone_number": "801-571-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 W DAYBREAK PKWY STE 102",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095139",
            "telephone_number": "801-571-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM INTEGRATED MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-11-14",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "CHALK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-571-1338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.