Park Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

174995-1202 Issued in UT

Legal business name

PARK CHIROPRACTIC

Practice address

174 W Parrish LN
Centerville, UT 84014-1821

Phone

(801) 298-7330

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Eugene Park, PHD, DC,

Title

Owner

Phone

(801) 298-7330

Specialties & licenses 1

Addresses

Other names 1

• Advanced Technology Spinal Center Doing business as

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962429670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 W PARRISH LN",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141821",
            "telephone_number": "801-298-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 W PARRISH LN",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141821",
            "telephone_number": "801-298-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-298-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DC,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "174995-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Technology Spinal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paul M Huffaker, DMD, PLLC

• All providers in Centerville, UT
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.