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DR. MARK DUDLEY D.C.
NPI 1689784019
Chiropractor in Salt Lake City, UT

Active since August 30, 2006Accepts Medicare Assignment
1053 E 2100 S, SALT LAKE CITY, UT 84106(801) 359-3995(801) 359-8489 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Dudley D.c. NPPES

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

DR. MARK DUDLEY D.C. (NPI 1689784019) is an individual chiropractor in Salt Lake City, Utah, licensed in Utah (286024-1202) and active in the NPI registry since August 2006. He is a graduate of Other (1995).

NPPES Registry Identity

NPI1689784019
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK DUDLEYCredential: D.C.
Location Address1053 E 2100 SSalt Lake City, UT 84106-2349
Mailing Address2505 E 3300 S, Ste 201Salt Lake City, UT 84109-2764 · (801) 359-3995 · Fax (801) 359-8489
Phone(801) 359-3995
Fax(801) 359-8489
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 6, 2019
✔ NPI 1689784019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 286024-1202
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.
1053 E 2100 S, Salt Lake City, UT 84106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Dudley D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294629812
PECOS Enrollment IDI20040407000493

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
389 services27 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE W BOWDEN FNP
Nurse Practitioner (Family)
1053 E 2100 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 359-3955
SHARLENE K WATSON APRN
Nurse Practitioner (Women's Health)
1053 E 2100 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 359-3995
DUDLEY MEDICAL AND WELLNESS INC
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
1053 E 2100 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 359-3995
DUDLEY CHIROPRACTIC & WELLNESS CENTER LC
Clinic/Center
1053 E 2100 S
SALT LAKE CITY, UT 84106
Salt Lake County (801) 359-3995
KATIE ANN TOLEDO
Nurse Practitioner
1053 E 2100 S, SUITE 4
SALT LAKE CITY, UT 84106
Salt Lake County (801) 359-3995

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 Mark Dudley's NPI number?

The NPI number for Mark Dudley is 1689784019. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mark Dudley located?

Mark Dudley practices at 1053 E 2100 S, Salt Lake City, UT 84106. The listed phone number is (801) 359-3995.

What is Mark Dudley's specialty?

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

Is Mark Dudley enrolled in Medicare?

Yes. Mark Dudley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Dudley accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Mark Dudley 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 Mark Dudley was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.