Individual provider Active NPI

Chris Kesler, D.C.

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1720103435
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
169904-1202 Issued in UT
Practice address
1760 E Fort Union Blvd
Salt Lake City, UT 84121-2852
Phone
(801) 942-7272
Fax
(801) 942-7287
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 169904-1202 UT Primary

Addresses

Primary practice location

1760 E Fort Union Blvd
Salt Lake City, UT 84121-2852

Mailing address

1760 E Fort Union Blvd
Salt Lake City, UT 84121-2852
Phone (801) 942-7272

Other identifiers 6

IdentifierTypeStateIssuer
36408OtherUTDMBA
870395551KE3OtherUTEDUCATORS MUTUAL
51799OtherUTUUHP
M7454MedicaidUT
19954OtherUTPEHP
QM0000010539OtherUTALTIUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000577 UT Practitioner - Chiropractic 5193992071 Practice locations: Salt Lake City, UT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1760 E Fort Union Blvd
Salt Lake City, UT 84121-2852

1760 Fort Union Blvd
Salt Lake City, UT 84121-2852
Phone (801) 942-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
169904-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1720103435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E FORT UNION BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212852",
            "telephone_number": "801-942-7272",
            "fax_number": "801-942-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E FORT UNION BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212852",
            "telephone_number": "801-942-7272",
            "fax_number": "801-942-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESLER",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "169904-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "36408",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "870395551KE3",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UUHP",
            "identifier": "51799",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M7454",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "19954",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000010539",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 28, 2017; 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.