MT. OLYMPUS CLINIC OF CHIROPRACTIC CORPORATION (NPI# 1043485188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043485188 |
| Entity Type | Organization |
| Organization Name | MT. OLYMPUS CLINIC OF CHIROPRACTIC CORPORATION |
| Practice Address |
715 E 3900 S Suite 205-a Salt Lake City UT 84107-2182 |
| Practice Telephone | 8012684993 |
| Practice Fax Number | 8012684241 |
| Mailing Telephone | 8012684993 |
| Mailing Fax Number | 8012684241 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. GREGORY LEWIS HADDOCK (OWNER) |
| Authorized Official Telephone | 8012684993 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
57703761202 | UT | Ambulatory Health Care Facilities |
| Street Address |
715 E 3900 S SUITE 205-A |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013975853 | Denise D Thornhill | Psychologist | 715 E 3900 S, Suite 202, Salt Lake City, UT 84107-2182 | 2006-05-02 |
| 1548504855 | Jerel Wright Dds | Dentist | 715 E 3900 S, 103, Salt Lake City, UT 84107-2182 | 2012-11-27 |
| 1508129495 | Regula Elisabeth Burki | Obstetrics & Gynecology | 715 E 3900 S, Salt Lake City, UT 84107-2182 | 2012-06-17 |
| 1366693392 | H. Richard Glissmeyer | Dentist | 715 E 3900 S, Suite 211, Salt Lake City, UT 84107-2182 | 2008-10-08 |
| 1124208186 | Kory Branham | Chiropractor | 715 E 3900 S, Suite 108, Salt Lake City, UT 84107-2182 | 2007-11-07 |
| 1689864605 | Kab Inc | Chiropractor | 715 E 3900 S, Suite 108, Salt Lake City, UT 84107 | 2007-07-26 |
| 1679775563 | Gregory Lewis Haddock | Chiropractor | 715 E 3900 S, Suite 109, Salt Lake City, UT 84107-2182 | 2007-06-03 |
| 1639384209 | Garth Jerel Wright | Dentist | 715 E 3900 S, #103, Salt Lake City, UT 84107-2182 | 2007-05-14 |
| 1447350020 | Clinton T Blackwood | Dentist | 715 E 3900 S, Suite 104, Salt Lake City, UT 84107-2182 | 2006-09-24 |
| 1851314082 | David M Ranks | Clinical Neuropsychologist | 715 E 3900 S, Salt Lake City, UT 84107-2182 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871040774 | Core Helath and Wellness | Clinic/Center | 1898 W 3500 S, Salt Lake City, UT 84119-3436 | 2016-09-08 |
| 1033547567 | Midtown Community Health Center Inc | Clinic/Center | 2253 S State St, Salt Lake City, UT 84115-2752 | 2013-10-18 |
| 1316222151 | Rachel Bedonie | Clinic/Center | 880 E 3375 S, Salt Lake City, UT 84106-1536 | 2011-10-12 |
| 1699075895 | Daniel B. Vine, Md, PC | Clinic/Center | 3980 S 700 E, #23, Salt Lake City, UT 84107-2188 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053780171 | Midtown Community Health Center Inc | Clinic/Center | 550 E 1400 N Ste Xy, Logan, UT 84341-2406 | 2015-09-18 |
| 1609254796 | Midtown Community Health Center Inc | Clinic/Center | 269 W 3300 S, Ogden, UT 84401-8440 | 2015-05-11 |
| 1407288400 | Elk Ridge Assisted Living | Clinic/Center | 218 W Olympic Dr, Elk Ridge, UT 84651-5712 | 2013-08-01 |
| 1104122720 | Wasathc Health Solutions | Clinic/Center | 1135 Parkstone Dr, Draper, UT 84020-8305 | 2011-01-28 |
| 1366758591 | Moonlighting Inc | Clinic/Center | 14728 Pristine Dr, Draper, UT 84020-7642 | 2010-08-25 |
| 1467644740 | Midtown Community Health Center Inc | Clinic/Center | 22 S State Street, Clearfield, UT 84015 | 2007-08-10 |
| 1093863342 | Wayne Community Health Centers Inc | Clinic/Center | 30 South Hwy 95, Hanksville, UT 84734 | 2007-01-05 |
| 1861587081 | Bear Lake Community Health Center Pharmacy | Clinic/Center | 325 West Logan Hwy., Garden City, UT 84028 | 2006-10-04 |
| 1093816282 | Wayne Community Health Centers Inc | Clinic/Center | 128 S 300 W, Bicknell, UT 84715 | 2006-09-26 |
| 1417347113 | Sunshine Terrance | Clinic/Center | 209 W 300 N, Logan, UT 84321-3809 | 2015-02-02 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on MT. OLYMPUS CLINIC OF CHIROPRACTIC CORPORATION.
| 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.