Organization Active NPI

Chalk Wellness PLLC

Doing business as Freedom Clinic of Chiropractic

  • Clinic/Center
  • South Jordan, UT
National Provider Identifier
1750987657
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on May 6, 2021

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

Authorized official

Name
Steven J Chalk, DCNPI 1538412713
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.