JACK SCOTT TRIPP (NPI# 1083045520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083045520 |
| Entity Type | Individual |
| Full Name | JACK SCOTT TRIPP |
| Credential | D.C. |
| Practice Address |
115 E 7200 S Midvale UT 84047-1533 |
| Practice Telephone | 8015664357 |
| Practice Fax Number | 8015664476 |
| Mailing Telephone | 8015664357 |
| Mailing Fax Number | 8015664476 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2014-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8749241-1202 | UT | Chiropractic Providers |
| Street Address |
115 E 7200 S |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003295304 | Campbell Injury Clinic | Chiropractor | 115 E 7200 S, Midvale, UT 84047-1533 | 2015-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| 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 |
|---|---|---|---|---|
| 1659972412 | Lindsay June Hall | Chiropractor | 613 E Fort Union Blvd, Midvale, UT 84047-5531 | 2020-11-06 |
| 1841781572 | Steven Kenneth Bird | Chiropractor | 741 W Smelter St, Midvale, UT 84047-7111 | 2018-05-30 |
| 1003217449 | Andrew J Reheisse | Chiropractor | 7351 S Union Park Ave Ste 150, Midvale, UT 84047-1869 | 2014-09-04 |
| 1356643001 | Sports Chiropractic and Wellness Center PC | Chiropractor | 193 E Fort Union Blvd, 203, Midvale, UT 84047-5660 | 2010-12-01 |
| 1023328432 | Jeremy P. Wimmer Chiropractic, LLC | Chiropractor | 6717 South 900 East Suite 101, Midvale, UT 84047 | 2010-10-19 |
| 1871767269 | Rubert Chiropractic Inc | Chiropractor | 44 W 7200 S, Ste B, Midvale, UT 84047-3751 | 2008-04-16 |
| 1265551030 | John M Ratliff | Chiropractor | 712 Fort Union Blvd, Midvale, UT 84047-2347 | 2007-03-29 |
| 1720124761 | Bruce C Nielson | Chiropractor | 7400 Union Park Ave Ste 301, Midvale, UT 84047-6707 | 2007-01-29 |
| 1891852257 | Shawn D Campbell | Chiropractor | 115 E 7200 South, Midvale, UT 84047 | 2007-01-03 |
| 1619078748 | Chiropractic Place LLC | Chiropractor | 6717 S 900 E, Suite 101, Midvale, UT 84047-5754 | 2006-09-25 |
| Find all providers in MIDVALE | ||||
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| 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.