NPIMap

Organization Active NPI

Corner Canyon Chiropractic

  • Chiropractor
  • Draper, UT
National Provider Identifier
1740588441
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7416390-1202 Issued in UT
Legal business name
CORNER CANYON CHIROPRACTIC
Practice address
1136 Draper Pkwy
Draper, UT 84020-9095
Phone
(801) 553-9691
Fax
(801) 571-4288
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Carl Gordon Lesueur, D.C.
Title
President
Phone
(801) 553-9691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7416390-1202 UT Primary

Addresses

Primary practice location

1136 Draper Pkwy
Draper, UT 84020-9095

Mailing address

1136 Draper Pkwy
Draper, UT 84020-9095
Phone (801) 553-9691

National Provider Directory

National Provider Directory

Locations

1136 E Draper Pkwy
Draper, UT 84020
Phone (385) 274-2586

Practitioners & affiliated clinicians

Practitioners 1

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": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1740588441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 DRAPER PKWY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209095",
            "telephone_number": "801-553-9691",
            "fax_number": "801-571-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 DRAPER PKWY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209095",
            "telephone_number": "801-553-9691",
            "fax_number": "801-571-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER CANYON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "LESUEUR",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-553-9691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7416390-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.