Mark Dudley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

286024-1202 Issued in UT

Practice address

1053 E 2100 S
Salt Lake City, UT 84106-2349

Phone

(801) 359-3995

Fax

(801) 359-8489

NPI assigned

Aug 30, 2006

Last updated

Feb 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dudleychrio@direct.meditouchehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dudley Chiropractic & Wellness Center LC

  • Clinic/Center
  • Salt Lake City, UT
  • NPI 1760669998
  Medicare reassignment Authorized official
• Dudley Medical and Wellness Inc

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Salt Lake City, UT
  • NPI 1700125416
  NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1689784019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 E 3300 S",
            "address_2": "STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092764",
            "telephone_number": "801-359-3995",
            "fax_number": "801-359-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062349",
            "telephone_number": "801-359-3995",
            "fax_number": "801-359-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "286024-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Christian Dudek
• Dudley Chiropractic & Wellness Center LC
• Dudley Medical and Wellness Inc
• Kayla Dudley
• Mark Dudley, APRN
• Nanette C. Dudley, MD
• William R Duehlmeier, APRN
• Perla Lizeth Duenas-Ruiz
• Jennifer Duenas
• Brandi Nichole Dufek, B.A.

• Chiropractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.