Solomon Gustafson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7996391-1202 Issued in UT

Practice address

677 W 5300 S
Murray, UT 84123-5671

Phone

(801) 327-8700

NPI assigned

Jun 10, 2013

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: americanwellness&rehabclinicllc.solomongustafson@135094.advancedmd-direct.com

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.

• American Wellness & Rehab Clinic LLC

  • Family Medicine Physician
  • Murray, UT
  • NPI 1417234766
  Medicare reassignment NPD
• Comprehensive Medical Services Jordan Health and Wellness Center, Inc

  • Clinic/Center
  • Murray, UT
  • NPI 1568721496
  NPD (past)

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1669810867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 W 5300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235671",
            "telephone_number": "801-327-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 W 5300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235671",
            "telephone_number": "801-327-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "SOLOMON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7996391-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Elizabeth Gundersen, M.D.
• Alexis Gunderson
• Sonia Gupta, MBBS
• Rachel Dresher Gurr, PA-C
• Marlana Gayle Gurule
• Edgar Gutierrez
• Lisa Marie Gutierrez
• Daniel C Gutteridge, MD
• Katie Elizabeth Guyer, PT
• Mark Guymon, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.