NPIMap

Organization Active NPI

West Valley Family Clinic

  • Rehabilitation Chiropractor
  • West Valley City, UT
National Provider Identifier
1700016979
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
114566-1202 Issued in UT
Legal business name
WEST VALLEY FAMILY CLINIC
Practice address
3536 S 5600 W
Suite 3
West Valley City, UT 84120-2788
Phone
(801) 955-1555
Fax
(801) 955-1552
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Dr. Mark Snow, D.C.
Title
Managing Member
Phone
(801) 955-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 114566-1202 UT Primary

Addresses

Primary practice location

3536 S 5600 W
Suite 3
West Valley City, UT 84120-2788

Mailing address

3536 S 5600 W
Suite 3
West Valley City, UT 84120-2788
Phone (801) 955-1555

National Provider Directory

National Provider Directory

Locations

3536 S 5600 W
Ste 3
West Valley City, UT 84120
Phone (801) 955-1555

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1700016979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 S 5600 W",
            "address_2": "SUITE 3",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202788",
            "telephone_number": "801-955-1555",
            "fax_number": "801-955-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 S 5600 W",
            "address_2": "SUITE 3",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202788",
            "telephone_number": "801-955-1555",
            "fax_number": "801-955-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-955-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "UT",
            "license": "114566-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.