Active NPI
James R Park, D.C.
- Chiropractor
- Ogden, UT
National Provider Identifier
1922188754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2374236-1202
- Practice address
- 1096 36TH St
Ogden, UT 84403-2035 - Phone
- (801) 393-2424
- Fax
- (801) 394-3451
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2374236-1202 | UT | Primary |
Addresses
Primary practice location
1096 36TH St
Ogden, UT 84403-2035
Mailing address
1096 36TH St
Ogden, UT 84403-2035
Phone (801) 393-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2374236-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1922188754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1096 36TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844032035",
"telephone_number": "801-393-2424",
"fax_number": "801-394-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1096 36TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844032035",
"telephone_number": "801-393-2424",
"fax_number": "801-394-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "2374236-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.