Judson Family Chiropractic LLC
Organization Active NPI Chiropractor · Magna, UT
NPI 1801677406 · NPPES record last updated Feb 14, 2024
Key facts
- NPI
- 1801677406
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- JUDSON FAMILY CHIROPRACTIC LLC
- Practice address
- 8237 W 3500 S
Magna, UT 84044-1851 - Phone
- (510) 798-9999
- NPI assigned
- Oct 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Brett Michael Judson, DC
- Title
- Owner
- Phone
- (510) 798-9999
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240403001399 | UT | Part B Supplier - Clinic/Group Practice | 5698113199 |
Receives reassigned benefits from 1 practitioner Practice locations: Magna, UT |
National Provider Directory
Locations
8237 W 3500 S
Magna, UT 84044
Phone (510) 798-9999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
8237 W 3500 S
Magna, UT 84044-1851
Mailing address
8237 W 3500 S
Magna, UT 84044-1851
Phone (510) 798-9999
Other providers in Magna, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.