DUDLEY CHIROPRACTIC & WELLNESS CENTER LC (NPI# 1760669998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760669998 |
| Entity Type | Organization |
| Organization Name | DUDLEY CHIROPRACTIC & WELLNESS CENTER LC |
| Practice Address |
1053 E 2100 S Salt Lake City UT 84106 |
| Mailing Address |
1053 E 2100 S Salt Lake City UT 84106-2349 |
| Practice Telephone | 8013593995 |
| Practice Fax Number | 8013598489 |
| Mailing Telephone | 8013593995 |
| Mailing Fax Number | 8013598489 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2014-09-24 |
| Authorized Official Name | DR. MARK DUDLEY (OWNER) |
| Authorized Official Telephone | 8013593995 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1053 E 2100 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689784019 | Mark Dudley | Chiropractor | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2006-08-30 |
| 1427485275 | Anne W Bowden | Nurse Practitioner | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2013-10-10 |
| 1689007155 | Sharlene K Watson | Nurse Practitioner | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2013-08-19 |
| 1700125416 | Dudley Medical and Wellness Inc | Physical Medicine & Rehabilitation | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2013-02-01 |
| 1881884252 | Katie Ann Toledo | Nurse Practitioner | 1053 E 2100 S, Suite 4, Salt Lake City, UT 84106-2060 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086631 | Treatment Assessment Screening Center, Inc | Clinic/Center | 145 E 1300 S Ste 101, Salt Lake City, UT 84115-6118 | 2015-10-22 |
| 1285016972 | Gonstead Chiropractic | Clinic/Center | 1154 S 300 W, Suite C, Salt Lake City, UT 84101-3053 | 2015-06-18 |
| 1932490190 | Work Care Clinic | Clinic/Center | 2390 S Redwood Road, Salt Lake City, UT 84119-2027 | 2011-04-22 |
| 1578869954 | Directmd, LLC | Clinic/Center | Salt Lake County Government Ctr, 2001 South State Street, Ste S2400, Salt Lake City, UT 84190-0001 | 2011-02-02 |
| 1124156906 | Madhuri Shah | Clinic/Center | 515 S 400 E, Salt Lake City, UT 84111-3501 | 2007-03-01 |
| 1902833270 | Diabetic Treatment Centers of America | Clinic/Center | 50 S 900 E, Suite 1a, Salt Lake City, UT 84102-1366 | 2006-06-26 |
| 1447733258 | Mr Health, Inc. | Clinic/Center | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2018-09-08 |
| 1376032672 | Symbiosis Counseling | Clinic/Center | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2018-05-02 |
| 1780182683 | Valleyfit Clinic LLC | Clinic/Center | 4460 S Highland Dr Ste 300, Salt Lake City, UT 84124-3562 | 2018-01-25 |
| 1023521119 | All for Women Healthcare, Inc | Clinic/Center | 2605 E 3300 S, Salt Lake City, UT 84109-2728 | 2017-11-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
Please comment or provide details below to improve the information on DUDLEY CHIROPRACTIC & WELLNESS CENTER LC.
| 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.