Active NPI
Chalk Wellness PLLC
Doing business as Freedom Clinic of Chiropractic
- Clinic/Center
- South Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CHALK WELLNESS PLLC
- Doing business as
- Freedom Clinic of Chiropractic
- Practice address
- 4775 W Daybreak Pkwy Ste 102
South Jordan, UT 84009-5139 - Phone
- (801) 571-1338
- Fax
- (801) 516-4438
- NPI assigned
- Dec 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven J Chalk, DC
- Title
- Owner
- Phone
- (801) 571-1338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4775 W Daybreak Pkwy Ste 102
South Jordan, UT 84009-5139
Mailing address
4775 W Daybreak Pkwy Ste 102
South Jordan, UT 84009-5139
Phone (801) 571-1338
Other names 1
- Freedom Clinic of Chiropractic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- South Jordan, UT
- NPI 1538412713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620259200000",
"number": "1750987657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 W DAYBREAK PKWY STE 102",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840095139",
"telephone_number": "801-571-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4775 W DAYBREAK PKWY STE 102",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840095139",
"telephone_number": "801-571-1338",
"fax_number": "801-516-4438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHALK WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-07",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A",
"authorized_official_last_name": "CHALK",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-571-1338",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Freedom Clinic of Chiropractic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Freedom Clinic of Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.