WILDE CHIROPRACTIC, LLC (NPI# 1356454516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356454516 |
| Entity Type | Organization |
| Organization Name | WILDE CHIROPRACTIC, LLC |
| Practice Address |
246 S 1100 E American Fork UT 84003-2829 |
| Practice Telephone | 8017568833 |
| Practice Fax Number | 8017569014 |
| Mailing Telephone | 8017568833 |
| Mailing Fax Number | 8017569014 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LARRY G WILDE (OWNER) |
| Authorized Official Telephone | 8017568833 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 290149-1202 | UT | Chiropractic Providers |
| Street Address |
246 S 1100 E |
| City | AMERICAN FORK |
| State | UT |
| Zip Code | 84003-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770515934 | Larry G Wilde | Chiropractor | 246 S 1100 E, American Fork, UT 84003-2829 | 2006-07-07 |
| 1194026914 | Temple View Chiropractic Clinic, Inc | Clinic/Center | 246 S 1100 E, American Fork, UT 84003-2829 | 2010-11-10 |
| 1124196167 | Joshua William Bryan | Chiropractor | 246 S 1100 E, American Fork, UT 84003-2829 | 2006-11-30 |
| 1043307689 | Greg William Kofford | Chiropractor | 246 S 1100 E, American Fork, UT 84003-2829 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
| 1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
| 1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
| 1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
| 1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
| 1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
| 1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
| Find all providers in zip 84003 | ||||
| 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 |
|---|---|---|---|---|
| 1821562984 | Breanne Sargent | Chiropractor | 1042 E Bamberger Dr, American Fork, UT 84003-5504 | 2019-01-11 |
| 1881162600 | Ryan Christopher Averett | Chiropractor | 17 N Merchant St Ste 3, American Fork, UT 84003-1601 | 2018-11-09 |
| 1477073088 | Marc Nelson | Chiropractor | 456 E State Rd Ste 500, American Fork, UT 84003-2589 | 2017-06-24 |
| 1598130585 | Jeffrey Patrick Forest | Chiropractor | 33 N 470 W, American Fork, UT 84003-2267 | 2015-12-02 |
| 1871752642 | Mark Henry Radandt | Chiropractor | 98 W State Rd, American Fork, UT 84003-1486 | 2008-06-05 |
| 1083805626 | Family Health & Wellness P.C. | Chiropractor | 95 E 200 N, American Fork, UT 84003-1613 | 2007-08-08 |
| 1144363730 | Ryan K Campbell | Chiropractor | 182 N West State Rd, American Fork, UT 84003-1457 | 2007-02-14 |
| 1326142530 | Robert L Lindberg | Chiropractor | 98 N West State Rd, American Fork, UT 84003-1486 | 2006-09-08 |
| 1770515934 | Larry G Wilde | Chiropractor | 246 S 1100 E, American Fork, UT 84003-2829 | 2006-07-07 |
| 1588691570 | Jay Paul Grant | Chiropractor | 201 West Main Street, American Fork, UT 84003-2227 | 2006-06-27 |
| Find all providers in AMERICAN FORK | ||||
| City | AMERICAN FORK |
| Zip Code | 84003 |
Please comment or provide details below to improve the information on WILDE CHIROPRACTIC, LLC.
| 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.