GENESIS CHIROPRACTIC, INC.
NPI 1245596097
Chiropractor in Salt Lake City, UT

Active since April 05, 2012
1200 E 3300 S, SALT LAKE CITY, UT 84106(801) 485-2580(801) 485-2587 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Genesis Chiropractic, Inc. NPPES

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

GENESIS CHIROPRACTIC, INC. (NPI 1245596097) is a healthcare organization registered as a chiropractor in Salt Lake City, Utah and active in the NPI registry since April 2012. The organization lists Tiffani T Fries, President, as its authorized official.

NPPES Registry Identity

NPI1245596097
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGENESIS CHIROPRACTIC, INC.
Location Address1200 E 3300 SSalt Lake City, UT 84106-2522
Mailing Address1200 E 3300 SSalt Lake City, UT 84106-2522 · (801) 485-2580 · Fax (801) 485-2587
Fax(801) 485-2587
Organization SubpartNo
Authorized OfficialTiffani T FriesPresident · (801) 485-2580
Enumeration DateApril 5, 2012
✔ NPI 1245596097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 5005891-1202
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.
1200 E 3300 S, Salt Lake City, UT 84106

Other Identifiers 3

Medicare UPIN000056301UT
Medicaid624033371001UT
Medicare PIN000056301UT

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Chiropractic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Genesis Chiropractic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1114977105
1200 E 3300 S
Salt Lake City, UT 84106
(801) 485-2580
✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Genesis Chiropractic, Inc.'s NPI number?

The NPI number for Genesis Chiropractic, Inc. is 1245596097. It was assigned to this organization in the NPPES registry on April 5, 2012.

Where is Genesis Chiropractic, Inc. located?

Genesis Chiropractic, Inc. is located at 1200 E 3300 S, Salt Lake City, UT 84106. The listed phone number is (801) 485-2580.

What is Genesis Chiropractic, Inc.'s specialty?

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

Is Genesis Chiropractic, Inc. enrolled in Medicare?

Yes. Genesis Chiropractic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Chiropractic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Genesis Chiropractic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Genesis Chiropractic, Inc. accept?

Health plans from University of Utah Health Plans list Genesis Chiropractic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesis Chiropractic, Inc. was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.