OPTIMAL HEALTH DYNAMICS PC (NPI# 1699773671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699773671 |
Entity Type | Organization |
Organization Name | OPTIMAL HEALTH DYNAMICS PC |
Practice Address |
1117 Country Hills Dr Suite 2 Ogden UT 84403-2559 |
Practice Telephone | 8014761752 |
Practice Fax Number | 8014763075 |
Mailing Telephone | 8014761752 |
Mailing Fax Number | 8014763075 |
Enumeration Date | 2005-07-13 |
Last Update Date | 2017-05-12 |
Authorized Official Name | DR. COREY J SONDRUP (PRESIDENT) |
Authorized Official Telephone | 8014761752 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NI0900X |
Chiropractor Specialization: Internist |
96317081-1202 | UT | Chiropractic Providers |
Street Address |
1117 COUNTRY HILLS DR SUITE 2 |
City | OGDEN |
State | UT |
Zip Code | 84403-2559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861497554 | Paul Caldarella | Psychologist | 1117 Country Hills Dr, Ste 8, Ogden, UT 84403-2467 | 2005-06-17 |
1649536004 | Brian Patrick Gomez | Social Worker | 1117 Country Hills Dr, Suite 5, Ogden, UT 84403-2559 | 2012-04-10 |
1740446160 | Shawn D. Mcquilkin, Md | Clinic/Center | 1117 Country Hills Dr, Suite #3, Ogden, UT 84403-2559 | 2008-08-05 |
1447381223 | Corey Joe Sondrup | Chiropractor | 1117 Country Hills Dr, Ste.2, Ogden, UT 84403-2559 | 2007-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
Find all providers in zip 84403 |
Taxonomy Code | 111NI0900X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Internist |
The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609851088 | Kevin Shawn Millet | Chiropractor | 3335 S 900 E, Ste 130, Slc, UT 84106-2189 | 2005-12-08 |
1225205941 | Lisa Ditlev Aste | Chiropractor | 1300 E Center St, Provo, UT 84606-3554 | 2008-05-12 |
1790801256 | Donald Everett Vradenburg | Chiropractor | 321 N Mall Dr, Suite I 201, St George, UT 84790-7302 | 2007-03-22 |
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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.