SALT LAKE SPORTS CHIROPRACTIC
NPI 1508103193
Clinic/Center in Salt Lake City, UT

Q: What is Salt Lake Sports Chiropractic's NPI number?

The NPI number for Salt Lake Sports Chiropractic is 1508103193. It was assigned to this organization in the NPPES registry on January 15, 2013.

Q: What is Salt Lake Sports Chiropractic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 15, 2013

3980 S 700 E STE 23, SALT LAKE CITY, UT 84107(801) 456-0350(801) 456-0351 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Salt Lake Sports Chiropractic NPPES

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

SALT LAKE SPORTS CHIROPRACTIC (NPI 1508103193) is a healthcare organization registered as a clinic/center in Salt Lake City, Utah and active in the NPI registry since January 2013. The organization maintains a secondary practice location in Salt Lake City and lists Bradley Alan Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1508103193

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSALT LAKE SPORTS CHIROPRACTIC

Location Address3980 S 700 E STE 23Salt Lake City, UT 84107-2530

Mailing Address3980 S 700 E Ste 23Salt Lake City, UT 84107-2530 · (801) 456-0350 · Fax (801) 456-0351

Phone(801) 456-0350

Fax(801) 456-0351

Organization SubpartNo

Authorized OfficialBradley Alan AndersonOwner · (360) 402-4840

Enumeration DateJanuary 15, 2013

Last NPPES UpdateJanuary 23, 2018

✔ NPI 1508103193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in UT · 8536046-1202

Definition

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).

3980 S 700 E STE 23, Salt Lake City, UT 84107

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Secondary Practice Location 1

Location 13980 S 700 E Ste 23Salt Lake City, UT 84107-2530 · Phone (801) 456-0350 · Fax (801) 456-0351

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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)

Salt Lake Sports Chiropractic 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 Salt Lake Sports Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bradley Anderson, D.C.

Chiropractic

NPI 1790022382

3980 S 700 E STE 23
Salt Lake City, UT 84107

(801) 456-0350

✔ Accepts MedicareSame address

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 Salt Lake Sports Chiropractic's NPI number?

The NPI number for Salt Lake Sports Chiropractic is 1508103193. It was assigned to this organization in the NPPES registry on January 15, 2013.

Where is Salt Lake Sports Chiropractic located?

Salt Lake Sports Chiropractic is located at 3980 S 700 E Ste 23, Salt Lake City, UT 84107. The listed phone number is (801) 456-0350.

What is Salt Lake Sports Chiropractic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Salt Lake Sports Chiropractic enrolled in Medicare?

Yes. Salt Lake Sports Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Salt Lake Sports Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Salt Lake Sports Chiropractic. 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 Salt Lake Sports Chiropractic accept?

Health plans from University of Utah Health Plans list Salt Lake Sports Chiropractic 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 Salt Lake Sports Chiropractic was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.