Jake Walden, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10540804-1202 Issued in UT

Practice address

520 Medical Dr Ste 200
Bountiful, UT 84010-8928

Phone

(801) 292-4400

Fax

(801) 292-4400

NPI assigned

Oct 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1477064277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 W PHEASANTBROOK DR",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141452",
            "telephone_number": "801-543-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR STE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108928",
            "telephone_number": "801-292-4400",
            "fax_number": "801-292-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "JAKE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "10540804-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Keely Wahl, OT
• Savanah A. Wahlen
• Waikoloa
• Sandra B Waite, CFNP
• John Oliver Wald, MCD
• Walgreen Co
• Walgreen Co
• Kimberly Gail Walker, ACSM- EP, CET
• Judson B. B. Wall, DDS
• Nicole Wall, LCMHC

• Chiropractor in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.