Organization Active NPI

Park City Chiropractic L.C.

  • Chiropractor
  • Park City, UT
National Provider Identifier
1871649350
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PARK CITY CHIROPRACTIC L.C.
Practice address
1678 Bonanza Dr
Park City, UT 84060-7201
Phone
(435) 649-1017
Fax
(435) 649-2842
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Duane W Francis, D.C.NPI 1275689929
Title
Registered Agent
Phone
(534) 649-1017

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 UT Primary

Addresses

Primary practice location

1678 Bonanza Dr
Park City, UT 84060-7201

Mailing address

1678 Bonanza Dr
Park City, UT 84060-7201
Phone (435) 649-1017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050831000558 UT Part B Supplier - Clinic/Group Practice 8426080367 Receives reassigned benefits from 1 practitioner
Practice locations: Park City, UT

National Provider Directory

National Provider Directory

Locations

1678 Bonanza Dr
Park City, UT 84060
Phone (435) 649-1017

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871649350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 BONANZA DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607201",
            "telephone_number": "435-649-1017",
            "fax_number": "435-649-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 BONANZA DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607201",
            "telephone_number": "435-649-1017",
            "fax_number": "435-649-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITY CHIROPRACTIC L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "534-649-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.