Mark Jolley, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5216116-1202 Issued in UT

Legal business name

MARK JOLLEY, P.C.

Practice address

2454 Monroe Blvd
Ogden, UT 84401-2506

Phone

(801) 332-9777

Fax

(801) 605-3715

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Jolley, DC

Title

Owner

Phone

(801) 332-9777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1669627188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 MONROE BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012506",
            "telephone_number": "801-332-9777",
            "fax_number": "801-605-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 MONROE BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012506",
            "telephone_number": "801-332-9777",
            "fax_number": "801-605-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JOLLEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-332-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5216116-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529510508001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.