1. Home
  2. Directory
  3. Utah
  4. Centerville
  5. Chiropractor
  6. NPI Profile

PARK CHIROPRACTIC, LLC
NPI 1093245003
Chiropractor in Centerville, UT

Active since June 13, 2017
224 S MAIN ST STE 1, CENTERVILLE, UT 84014(801) 292-2299(801) 295-5835 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Park Chiropractic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK CHIROPRACTIC, LLC (NPI 1093245003) is a healthcare organization registered as a chiropractor in Centerville, Utah and active in the NPI registry since June 2017. The organization lists Jerry E Park, Chiropractic Physician, as its authorized official.

NPPES Registry Identity

NPI1093245003
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePARK CHIROPRACTIC, LLC
Location Address224 S MAIN ST STE 1Centerville, UT 84014-2206
Mailing Address224 S Main St Ste 1Centerville, UT 84014-2206 · (801) 292-2299 · Fax (801) 295-5835
Phone(801) 292-2299
Fax(801) 295-5835
Organization SubpartNo
Authorized OfficialJerry E ParkChiropractic Physician · (801) 292-2299
Enumeration DateJune 13, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1093245003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 174995-1202
Definition
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.
224 S MAIN ST STE 1, Centerville, UT 84014
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Chiropractic, LLC's NPI number?

The NPI number for Park Chiropractic, LLC is 1093245003. It was assigned to this organization in the NPPES registry on June 13, 2017.

Where is Park Chiropractic, LLC located?

Park Chiropractic, LLC is located at 224 S Main St Ste 1, Centerville, UT 84014. The listed phone number is (801) 292-2299.

What is Park Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Park Chiropractic, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.