FAMILY FOUNDATION CHIROPRACTIC PC (NPI# 1265581706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265581706 |
| Entity Type | Organization |
| Organization Name | FAMILY FOUNDATION CHIROPRACTIC PC |
| Other Organization Name | GONSTEAD FAMILY CHIROPRACTIC |
| Practice Address |
1121 E 3900 S Ste. 222 Salt Lake City UT 84124-1214 |
| Mailing Address |
1121 E 3900 S Ste. 222 Salt Lake City UT 84107 |
| Practice Telephone | 8017470770 |
| Practice Fax Number | 8017470771 |
| Mailing Telephone | 8017470770 |
| Mailing Fax Number | 8017470771 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-01-25 |
| Authorized Official Name | KIRK BROOKS HENDERSON (PRESIDENT) |
| Authorized Official Telephone | 8018426382 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 62621261202 | UT | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Gonstead Family Chiropractic | Doing Business As Name - Organization |
| Street Address |
1121 E 3900 S STE. 222 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608095 | Kay B Walker | Specialist | 1121 E 3900 S, Salt Lake City, UT 84124-1286 | 2005-09-06 |
| 1518371566 | Anthony Newman | Physical Therapist | 1121 E 3900 S, C-115, Salt Lake City, UT 84124-1214 | 2014-06-18 |
| 1205148061 | James Shortridge | Internal Medicine | 1121 E 3900 S, Suite C230, Salt Lake City, UT 84124-1214 | 2010-07-09 |
| 1194996660 | Nwt, Inc | Clinical Medical Laboratory | 1121 E 3900 S, Suite 105, Salt Lake City, UT 84124-1214 | 2008-03-12 |
| 1679784102 | Wirt A Hines Md PC | Specialist | 1121 E 3900 S, C 125, Salt Lake City, UT 84124-1214 | 2007-05-25 |
| 1669546743 | Wirt A Hines II | Specialist | 1121 E 3900 S, Suite C-125, Salt Lake City, UT 84124-1214 | 2006-11-20 |
| 1922101179 | Gonstead Family Chiropractic, LLC | Chiropractor | 1121 E 3900 S, Building C Suite 222, Salt Lake City, UT 84124-1214 | 2006-09-06 |
| 1932216652 | Granger Medical Clinic, PC | Specialist | 1121 E 3900 S, Suite #c130, Salt Lake City, UT 84124-1214 | 2006-08-25 |
| 1639108566 | Jared M Preston | Chiropractor | 1121 E 3900 S, Building C Suite 222, Salt Lake City, UT 84124-1214 | 2006-07-02 |
| 1841252004 | Louise K Tobey | Physician Assistant | 1121 E 3900 S, Building C, Suite 230, Salt Lake City, UT 84124-1214 | 2006-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098394 | Lindsay Kopp | Chiropractor | 1939 S 1100 E, Salt Lake City, UT 84106-3580 | 2019-02-02 |
| 1740744101 | Drd Enterprises, LLC | Chiropractor | 7186 S Highland Dr Ste 150, Salt Lake City, UT 84121-7324 | 2019-01-29 |
| 1093289795 | Matthew Kory Jackson | Chiropractor | 515 E 4500 S Ste G230, Salt Lake City, UT 84107-4510 | 2019-01-15 |
| 1386159663 | Mikel Roy | Chiropractor | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2017-12-07 |
| 1508302225 | Scott Graziosa | Chiropractor | 3160 E Coronet Dr, Salt Lake City, UT 84124-3107 | 2017-01-19 |
| 1245642966 | Yasa LLC | Chiropractor | 5882 S 900 E Ste 100, Salt Lake City, UT 84121-1684 | 2014-05-29 |
| 1962814392 | John Corbaley | Chiropractor | 370 E South Temple Ste 100, Salt Lake City, UT 84111-1240 | 2014-05-20 |
| 1790022382 | Bradley Alan Anderson | Chiropractor | 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 | 2013-01-15 |
| 1316291966 | Mark Frogley | Chiropractor | 1264 W Village Main Dr, Suite A, Salt Lake City, UT 84119-3396 | 2012-11-05 |
| 1548513088 | Taylor Robert Krick | Chiropractor | 1860 S 300 W, Suite B, Salt Lake City, UT 84115-2085 | 2012-10-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on FAMILY FOUNDATION CHIROPRACTIC PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.