NPIMap

Organization Active NPI

Gonstead Family Chiropractic, LLC

Doing business as Gonstead Family Chiropractic

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1922101179
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
369441-1202 Issued in UT
Legal business name
GONSTEAD FAMILY CHIROPRACTIC, LLC
Doing business as
Gonstead Family Chiropractic
Practice address
1121 E 3900 S
Building C Suite 222
Salt Lake City, UT 84124-1214
Phone
(801) 747-0770
Fax
(801) 747-0771
NPI assigned
Sep 6, 2006
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Jared M Preston, D.C.NPI 1639108566
Title
Chiropractor
Phone
(801) 747-0770

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 369441-1202 UT Primary

Addresses

Primary practice location

1121 E 3900 S
Building C Suite 222
Salt Lake City, UT 84124-1214

Mailing address

1121 E 3900 S
Building C Suite 222
Salt Lake City, UT 84124-1214
Phone (801) 747-0770

Other names 1

  • Gonstead Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1121 E 3900 S
Ste C222
Salt Lake City, UT 84124
Phone (801) 747-0770

1121 E 3900 S
Ste 125
Salt Lake Cty, UT 84124
Phone (801) 631-5804

Practitioners & affiliated clinicians

Practitioners 1

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1922101179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "BUILDING C SUITE 222",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241214",
            "telephone_number": "801-747-0770",
            "fax_number": "801-747-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "BUILDING C SUITE 222",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241214",
            "telephone_number": "801-747-0770",
            "fax_number": "801-747-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONSTEAD FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-747-0770",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "369441-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonstead Family Chiropractic",
            "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 Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.