Organization Active NPI

Thompson Family Chiropractic, PC

  • Chiropractor
  • Herriman, UT
National Provider Identifier
1891978649
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4916781-1202 Issued in UT
Legal business name
THOMPSON FAMILY CHIROPRACTIC, PC
Practice address
5734 W 13400 S
Suite 200
Herriman, UT 84096-6953
Phone
(801) 446-6220
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Wade C Thompson, D.C.NPI 1083722706
Title
Owner/Doctor
Phone
(801) 446-6220

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 4916781-1202 UT Primary

Addresses

Primary practice location

5734 W 13400 S
Suite 200
Herriman, UT 84096-6953

Mailing address

5734 W 13400 S
Suite 200
Herriman, UT 84096-6953
Phone (801) 446-6220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041004000418 UT Part B Supplier - Clinic/Group Practice 6406815711 Receives reassigned benefits from 1 practitioner
Practice locations: Herriman, UT

National Provider Directory

National Provider Directory

Locations

5734 W 13400 S
Ste 200
Herriman, UT 84096
Phone (801) 446-6220

Practitioners & affiliated clinicians

Practitioners 1

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1891978649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 W 13400 S",
            "address_2": "SUITE 200",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966953",
            "telephone_number": "801-446-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 W 13400 S",
            "address_2": "SUITE 200",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966953",
            "telephone_number": "801-446-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "801-446-6220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "4916781-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.