Optimal Health Dynamics PC

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

96317081-1202 Issued in UT

Legal business name

OPTIMAL HEALTH DYNAMICS PC

Practice address

1117 Country Hills Dr
Suite 2
Ogden, UT 84403-2559

Phone

(801) 476-1752

Fax

(801) 476-3075

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Corey J Sondrup, DCNPI 1447381223

Title

President

Phone

(801) 476-1752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

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

• Corey Joe Sondrup, D.C.

  • Nutrition Chiropractor
  • Ogden, UT
  • NPI 1447381223
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1699773671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 COUNTRY HILLS DR",
            "address_2": "SUITE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032559",
            "telephone_number": "801-476-1752",
            "fax_number": "801-476-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 COUNTRY HILLS DR",
            "address_2": "SUITE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032559",
            "telephone_number": "801-476-1752",
            "fax_number": "801-476-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH DYNAMICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "SONDRUP",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-476-1752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "UT",
            "license": "96317081-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ovard Omer, CSW
• Maria Omer, DPT
• On Track Counseling LLC
• Heidi Openshaw
• Optical Associates Inc
• Nicholas John Ordyna, MD
• David Lloyd Orme, M.D.
• Brisa Orozco Meza
• Diamen Orozco, CASE MANAGER
• Ortho Medical Supply Inc

• Internist Chiropractor in Ogden, UT
• Providers in Ogden, UT by specialty
• Internist Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.