Kali R Krivinchuk, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12810668-1202 Issued in UT

Practice address

8170 S Highland Dr Ste E4
Sandy, UT 84093-6465

Phone

(801) 942-4999

NPI assigned

Sep 16, 2022

Last updated

Sep 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Superior Wellness LLC

  • Chiropractor
  • Sandy, UT
  • NPI 1033826185
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1548982473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 OGDEN AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548806110",
            "telephone_number": "218-343-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 S HIGHLAND DR STE E4",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936465",
            "telephone_number": "801-942-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVINCHUK",
        "first_name": "KALI",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "12810668-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davin Finn Koller
• Megan Komatsu, LCSW
• Olivia Kate Paulsen Kopinsky
• Jacob Korish, DPT
• Amber Kosmas
• Wyatt K Kropf, PHARMD
• Angela Marie Nicholson Krull, MD
• Marci Kuhn, RN
• Patrick Kunkel, D.D.S., M.S.D
• Lauren Lacayo de Rodas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.