South Ogden Chiropractic Health

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

287585-1202 Issued in UT

Legal business name

SOUTH OGDEN CHIROPRACTIC HEALTH

Practice address

2454 Monroe Blvd
Ogden, UT 84401-2506

Phone

(801) 675-5600

Fax

(801) 605-3715

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Bunn

Title

Secratary

Phone

(801) 675-5600

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Skyline Chiropractic Other name

Locations

Practitioners 1

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

• Brian Johnston, DC

  • Chiropractor
  • Ogden, UT
  • NPI 1811102056
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1689741084",
    "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": "801-675-5600",
            "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": "801-675-5600",
            "fax_number": "801-605-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OGDEN CHIROPRACTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SECRATARY",
        "authorized_official_telephone_number": "801-675-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "287585-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH IHC",
            "identifier": "107012083102",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2238351",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONTRAD BCBS",
            "identifier": "28758512077001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TADITIONAL BCBS",
            "identifier": "28758512000001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505063944001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "197164",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffery T Sorensen, MD
• Shuree Sorensen
• Steven R Sorenson, LCSW
• John Nicholas Soter, MD
• Sound Sleep Medical LLC
• South Ogden Dental PC
• South Ogen PDC PLLC
• Janet Southwick, COTA/L
• Jed Craig Southwick, M.D.
• Bronwen Southworth

• 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 31, 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.