Bodyworks Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3552091202 Issued in UT

Legal business name

BODYWORKS CHIROPRACTIC CENTER INC

Practice address

1218 West South Jordan Parkway
Suite a
South Jordan, UT 84095

Phone

(801) 302-0301

Fax

(801) 302-0311

NPI assigned

Feb 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Theron B Hall, DCNPI 1376768432

Title

President Owner

Phone

(801) 302-0301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theron Briggs Hall, DC

  • Chiropractor
  • South Jordan, UT
  • NPI 1376768432
  Medicare reassignment NPD Authorized official
• Nicholas Takis, DC

  • Chiropractor
  • South Jordan, UT
  • NPI 1033986864
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689716177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 WEST SOUTH JORDAN PARKWAY",
            "address_2": "SUITE A",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "801-302-0301",
            "fax_number": "801-302-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 WEST SOUTH JORDAN PARKWAY",
            "address_2": "SUITE A",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "801-302-0301",
            "fax_number": "801-302-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKS CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "THERON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "801-302-0301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3552091202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Theory Counseling LLC
• Verena Blume
• Jess Leland Bluth, DC
• John Ellis Boden, LPC
• Brock Bodily
• Bond Chiropractic Inc
• Roger Arie Bond, D.C.
• Trudy Bond, L.P.C.
• Lora Elizabeth Bonham, LCSW
• Bonneville Health Recruiters Dba Professional Nursing Service

• Chiropractor in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.