Organization Active NPI

LJ Alliance LLC

Doing business as Alta Vista Chiropractic

  • Chiropractor
  • West Jordan, UT
National Provider Identifier
1912631219
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LJ ALLIANCE LLC
Doing business as
Alta Vista Chiropractic
Practice address
1781 W 9000 S
West Jordan, UT 84088-6502
Phone
(801) 562-5600
Fax
(801) 255-7104
NPI assigned
Jul 12, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Lillian Sanchez
Title
Owner
Phone
(801) 450-3074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1781 W 9000 S
West Jordan, UT 84088-6502

Mailing address

1781 W 9000 S
West Jordan, UT 84088-6502
Phone (801) 562-5600

Other names 1

  • Alta Vista Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220908000355 UT Part B Supplier - Clinic/Group Practice 3870977978 Receives reassigned benefits from 2 practitioners
Practice locations: West Jordan, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1912631219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886502",
            "telephone_number": "801-562-5600",
            "fax_number": "801-255-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886502",
            "telephone_number": "801-562-5600",
            "fax_number": "801-255-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-450-3074"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Vista Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alta Vista Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.