Organization Active NPI

Back in Motion Chiropractic LLC

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1699869115
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
278352-1202 Issued in UT
Legal business name
BACK IN MOTION CHIROPRACTIC LLC
Practice address
6415 S 3000 E Ste 250
Salt Lake City, UT 84121-6905
Phone
(801) 553-0366
Fax
(801) 553-0367
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Gregory L Freebairn, D.C.
Title
Owner
Phone
(801) 553-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 278352-1202 UT Primary

Addresses

Primary practice location

6415 S 3000 E Ste 250
Salt Lake City, UT 84121-6905

Mailing address

6415 S 3000 E Ste 250
Salt Lake City, UT 84121-6905
Phone (801) 553-0366

Other identifiers 1

IdentifierTypeStateIssuer
1043328388OtherUTNPI PROVIDER NUMBER

Other names 1

  • Greg Freebairn D.C. Other name

National Provider Directory

National Provider Directory

Locations

6415 S 3000 E
Ste 250
Salt Lake Cty, UT 84121
Phone (801) 553-0366

9844 S 1300 E
Ste 230
Sandy, UT 84094
Phone (801) 553-0366

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1699869115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 S 3000 E STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216905",
            "telephone_number": "801-553-0366",
            "fax_number": "801-553-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 S 3000 E STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216905",
            "telephone_number": "801-553-0366",
            "fax_number": "801-553-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "FREEBAIRN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-553-0366",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "278352-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROVIDER NUMBER",
            "identifier": "1043328388",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greg Freebairn D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.