Organization Active NPI

Luce Chiropractic

  • Chiropractor
  • South Jordan, UT
National Provider Identifier
1699093989
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUCE CHIROPRACTIC
Practice address
3630 W South Jordan Pkwy
Ste. 102
South Jordan, UT 84095-7153
Phone
(801) 254-1811
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Dr. Jacob Allen Luce, D.C.
Title
President
Phone
(801) 254-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3630 W South Jordan Pkwy
Ste. 102
South Jordan, UT 84095-7153

Mailing address

3630 W South Jordan Pkwy
Ste. 102
South Jordan, UT 84095-7153
Phone (801) 254-1811

Other identifiers 1

IdentifierTypeStateIssuer
71998841202OtherUTUTAH STATE CHIROPRACTIC LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1699093989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 W SOUTH JORDAN PKWY",
            "address_2": "STE. 102",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957153",
            "telephone_number": "801-254-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 W SOUTH JORDAN PKWY",
            "address_2": "STE. 102",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957153",
            "telephone_number": "801-254-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "LUCE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-254-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE CHIROPRACTIC LICENSE NUMBER",
            "identifier": "71998841202",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.