Individual provider Active NPI

Karch Gajdos, DC

  • Chiropractor
  • Pleasant Grove, UT
National Provider Identifier
1790453199
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11917252-1202 Issued in UT
Practice address
470 W 220 S Ste 201
Pleasant Grove, UT 84062-2990
Phone
(801) 785-7874
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11917252-1202 UT Primary

Addresses

Primary practice location

470 W 220 S Ste 201
Pleasant Grove, UT 84062-2990

Mailing address

470 W 220 S Ste 201
Pleasant Grove, UT 84062-2990
Phone (801) 785-7874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11917252-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Within Chiropractic PC Chiropractor PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1790453199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W 220 S STE 201",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622990",
            "telephone_number": "801-785-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W 220 S STE 201",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622990",
            "telephone_number": "801-785-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJDOS",
        "first_name": "KARCH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "11917252-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.