Individual provider Active NPI

Craig Dunn, D.C.

  • Sports Physician Chiropractor
  • Midvale, UT
National Provider Identifier
1508809443
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
175562-1202 Issued in UT
Practice address
7400 Union Park Ave Ste 302
Midvale, UT 84047-6707
Phone
(801) 568-1598
Fax
(801) 568-1594
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 175562-1202 UT Primary

Addresses

Primary practice location

7400 Union Park Ave Ste 302
Midvale, UT 84047-6707

Mailing address

7400 Union Park Ave Ste 302
Midvale, UT 84047-6707
Phone (801) 568-1598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175562-1202UTMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates of Central Illinois LTD Past Accepting new patients
Nauvoo Health & Chiropractic Sports Physician PastSince Nov 13, 2022 Accepting new patients
Wasatch Back Wellness, PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1508809443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 UNION PARK AVE STE 302",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476707",
            "telephone_number": "801-568-1598",
            "fax_number": "801-568-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 UNION PARK AVE STE 302",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476707",
            "telephone_number": "801-568-1598",
            "fax_number": "801-568-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "CRAIG",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "175562-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.