Keystone Chiropractic & Wellness, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KEYSTONE CHIROPRACTIC & WELLNESS, PLLC

Practice address

613 E Fort Union Blvd
Midvale, UT 84047-5531

Phone

(801) 562-2400

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Bentley, DC

Title

Owner

Phone

(949) 701-8587

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Matt Bentley, DC

  • Chiropractor
  • Midvale, UT
  • NPI 1366184293
  NPD
• Lindsay June Hall, DC

  • Chiropractor
  • Salt Lake City, UT
  • NPI 1659972412
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1962100495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 S SHELBY VIEW DR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475663",
            "telephone_number": "949-701-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 E FORT UNION BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475531",
            "telephone_number": "801-562-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CHIROPRACTIC & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-701-8587",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Kennard, LCSW
• Joanna Ruth Kennedy
• Kenneth L Hennefer and Associates, LLC
• Dean M Kennington, LCSW
• Kimberly Ann Kettle, LCSW
• William Starkey Kidder, DDS
• Michael Kiley, PHARMD
• Lorraine S Kilpatrick, LCSW
• Lois Daheun Kim
• Sangae Kim, CA

• Chiropractor in Midvale, UT
• Providers in Midvale, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.