Active Life Chiropractic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

349519-1202 Issued in UT

Legal business name

ACTIVE LIFE CHIROPRACTIC, INC.

Practice address

2645 Parleys Way
Salt Lake City, UT 84109-1636

Phone

(801) 485-4455

Fax

(801) 485-2255

NPI assigned

Dec 16, 2008

Last updated

Dec 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Turner Holmes, D.C.NPI 1346203676

Title

Owner

Phone

(801) 485-4455

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Turner Holmes, D.C., C.C.E.P.

  • Chiropractor
  • Salt Lake City, UT
  • NPI 1346203676
  Authorized official Same address or phone

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1487890711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 PARLEYS WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091636",
            "telephone_number": "801-485-4455",
            "fax_number": "801-485-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 PARLEYS WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091636",
            "telephone_number": "801-485-4455",
            "fax_number": "801-485-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-485-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "349519-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvis Freeman Acquah, PHD
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• Marie Kathleen Acree, APRN
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• Francisco Acurero
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• Elizabeth Adair

• Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.