Organization Active NPI

Guthrie Chiropractic Clinic Inc

  • Chiropractor
  • Taylorsville, UT
National Provider Identifier
1760601603
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
176424-1202 Issued in UT
Legal business name
GUTHRIE CHIROPRACTIC CLINIC INC
Practice address
3856 W 5400 S
120
Taylorsville, UT 84129-3579
Phone
(801) 957-9696
Fax
(801) 957-9694
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Daniel Russell Guthrie, D.C.NPI 1972722916
Title
Doctor of Chiropractic
Phone
(801) 957-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 176424-1202 UT Primary

Addresses

Primary practice location

3856 W 5400 S
120
Taylorsville, UT 84129-3579

Mailing address

3856 W 5400 S
120
Taylorsville, UT 84129-3579
Phone (801) 957-9696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000727 UT Part B Supplier - Clinic/Group Practice 3476465980 Receives reassigned benefits from 1 practitioner
Practice locations: West Jordan, UT

National Provider Directory

National Provider Directory

Locations

3856 W 5400 S
#120
Taylorsville, UT 84129
Phone (801) 957-9696

3856 W 5400 S
Ste 120
Taylorsville, UT 84129
Phone (801) 957-9696

Practitioners & affiliated clinicians

Practitioners 2

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1760601603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 W 5400 S",
            "address_2": "120",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841293579",
            "telephone_number": "801-957-9696",
            "fax_number": "801-957-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3856 W 5400 S",
            "address_2": "120",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841293579",
            "telephone_number": "801-957-9696",
            "fax_number": "801-957-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "801-957-9696",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "176424-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.