Individual provider Active NPI

Omar Arrieta, DC

  • Chiropractor
  • Murray, UT
National Provider Identifier
1578050175
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10764087-1202 Issued in UT
Practice address
141 E 5600 S Ste 204
Murray, UT 84107-8242
Phone
(801) 905-1466
NPI assigned
Apr 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10764087-1202 UT Primary

Addresses

Primary practice location

141 E 5600 S Ste 204
Murray, UT 84107-8242

Mailing address

6577 S Greenmeadow Way Apt 10E
Murray, UT 84107-2267
Phone (904) 910-9894

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10764087-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tran Chiropractic & Wellness Center Inc Chiropractor PastSince Sep 19, 2007 Accepting new patients
Wasatch Integrated Wellness, LLC Chiropractor Past Accepting new patients
Essential Integrative Medicine LLC Single Specialty PastSince Oct 20, 2012 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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1578050175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6577 S GREENMEADOW WAY APT 10E",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841072267",
            "telephone_number": "904-910-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E 5600 S STE 204",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078242",
            "telephone_number": "801-905-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIETA",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "10764087-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.