Organization Active NPI

Highland Chiropractic Clinic, Inc.

Doing business as Highland Chiropractic Clinic

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1821266784
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
363476-1202 Issued in UT
Legal business name
HIGHLAND CHIROPRACTIC CLINIC, INC.
Doing business as
Highland Chiropractic Clinic
Practice address
4646 Highland Dr
St 101
Salt Lake City, UT 84117-5135
Phone
(801) 277-5665
Fax
(801) 277-5666
NPI assigned
Feb 13, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Sam Adams, D.C., C.C.S.P.NPI 1356474100
Title
Chiropractor
Phone
(801) 277-5665

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
Chiropractor 111N00000X 363476-1202 UT Primary

Addresses

Primary practice location

4646 Highland Dr
St 101
Salt Lake City, UT 84117-5135

Mailing address

4646 Highland Dr
St 101
Salt Lake City, UT 84117-5135
Phone (801) 277-5665

Other names 1

  • Highland Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050910000186 UT Part B Supplier - Clinic/Group Practice 1658303631 Receives reassigned benefits from 1 practitioner
Practice locations: Murray, UT

National Provider Directory

National Provider Directory

Locations

6364 S Highland Dr
Ste 100
Murray, UT 84121
Phone (801) 277-5665

480 E Winchester St
Ste 150
Salt Lake City, UT 84107
Phone (801) 277-5665

4646 S Highland Dr
Ste 101
Salt Lake Cty, UT 84117
Phone (801) 277-5665

Practitioners & affiliated clinicians

Practitioners 2

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1821266784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 HIGHLAND DR",
            "address_2": "ST 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175135",
            "telephone_number": "801-277-5665",
            "fax_number": "801-277-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 HIGHLAND DR",
            "address_2": "ST 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175135",
            "telephone_number": "801-277-5665",
            "fax_number": "801-277-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-277-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "363476-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.