Gonstead Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

369441-1202 Issued in UT

Legal business name

GONSTEAD FAMILY CHIROPRACTIC, LLC

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

Organization subpart

No

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

Authorized official

Name

Jared M Preston, D.C.

Title

Chiropractor

Phone

(801) 747-0770

Specialties & licenses 1

Addresses

Other names 1

• Gonstead Family Chiropractic Doing business as

Locations

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"
        }
    ]
}

• Michael Andrew Gomez, PA-C
• Caterine Georgina Gongora Garcia
• Lyly Gonoratskiy, CSW
• Gonstead Chiropractic
• Gonstead Family Chiropractic
• David Mortin Gontrum, M.D.
• Eva Quetzal Phillips Gontrum
• Alyna Gonzales
• David Kirk Gonzales, DNP
• Eric Gonzales

• Chiropractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Chiropractor in Utah

• 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.