Organization Active NPI

Health Solutions Chiropractic LLC

  • Chiropractor
  • South Ogden, UT
National Provider Identifier
1669415329
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
983 Issued in UT
Legal business name
HEALTH SOLUTIONS CHIROPRACTIC LLC
Practice address
5974 S Fashion Point Dr
Suite #110
South Ogden, UT 84403-4699
Phone
(801) 621-1667
Fax
(801) 605-3807
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Dr. Mark Wheeler, D.C.
Title
Chiropractor
Phone
(801) 621-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 983 UT Primary

Addresses

Primary practice location

5974 S Fashion Point Dr
Suite #110
South Ogden, UT 84403-4699

Mailing address

5974 S Fashion Point Dr
Suite #110
South Ogden, UT 84403-4699
Phone (801) 621-1667

Other names 1

  • HealthSource Chiropractic of South Ogden Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061005000404 UT Part B Supplier - Clinic/Group Practice 9739185224 Receives reassigned benefits from 2 practitioners
Practice locations: South Ogden, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1669415329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5974 S FASHION POINT DR",
            "address_2": "SUITE #110",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-621-1667",
            "fax_number": "801-605-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 S FASHION POINT DR",
            "address_2": "SUITE #110",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-621-1667",
            "fax_number": "801-605-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOLUTIONS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-621-1667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource Chiropractic of South Ogden",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.