DR. KYLE GORDON (NPI# 1407476849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407476849 |
| Entity Type | Individual |
| Full Name | DR. KYLE GORDON |
| Credential | DC |
| Practice Address |
891 W Baxter Dr South Jordan UT 84095-8506 |
| Practice Telephone | 5092703687 |
| Mailing Telephone | 5092703687 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11726657-1202 | UT | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1811076938 | Kyle Ford Gordon | Otolaryngology | 970 Lakeland Dr Ste 40, Jackson, MS 39216-4640 | 2006-11-02 |
| 1124514484 | Kyle Mcallister Gordon | Pharmacist | 3350 North Rd, Poughkeepsie, NY 12601-1372 | 2018-07-10 |
| 1700381738 | Kyle Andrew Gordon | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2018-03-30 |
| 1952479958 | Kyle Alexander Gordon | Counselor | 1170 Pearl St, Eugene, OR 97401-3541 | 2006-11-30 |
| Street Address |
891 W BAXTER DR |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-8506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151407 | Ryan Williams | Chiropractor | 891 W Baxter Dr, South Jordan, UT 84095-8506 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| 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 |
|---|---|---|---|---|
| 1215377460 | Neurobolic Health Center | Chiropractor | 1664 W 10600 S Ste 4, South Jordan, UT 84095-8611 | 2013-07-02 |
| 1134465271 | J Brinton Andersen | Chiropractor | 10965 S River Front Pkwy, South Jordan, UT 84095-3538 | 2012-12-18 |
| 1588967301 | Southwest Chiropractic, Inc. | Chiropractor | 10358 S 1700 W, South Jordan, UT 84095-9339 | 2010-12-16 |
| 1215245881 | Scranton Clinic of Chiropractic | Chiropractor | 4775 W. Daybreak Parkway, St. 102, South Jordan, UT 84095 | 2010-09-17 |
| 1194037978 | Joseph Ross Stockwell | Chiropractor | 10714 S Jordan Gtwy, Suite # 220, South Jordan, UT 84095-3922 | 2010-07-08 |
| 1699093989 | Luce Chiropractic | Chiropractor | 3630 W South Jordan Pkwy, Ste. 102, South Jordan, UT 84095-7153 | 2010-05-11 |
| 1265760334 | John R Whitehead | Chiropractor | 11488 Open View Ln, South Jordan, UT 84095-8790 | 2009-11-30 |
| 1104150960 | Janson William Kemp | Chiropractor | 968 W South Jordan Pkwy, Ste B, South Jordan, UT 84095-8817 | 2009-09-28 |
| 1225276033 | Mack Chiropractic PC | Chiropractor | 912 W Baxter Dr, Suite 120, South Jordan, UT 84095 | 2009-02-02 |
| 1689811457 | Jacob Allen Luce | Chiropractor | 3630 W South Jordan Pkwy Ste 102, South Jordan, UT 84095-7155 | 2009-01-15 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.