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OPTIMAL HEALTH DYNAMICS PC
NPI 1699773671
Chiropractor - Internist in Ogden, UT

Active since July 13, 2005
1117 COUNTRY HILLS DR, SUITE 2, OGDEN, UT 84403(801) 476-1752(801) 476-3075 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Optimal Health Dynamics Pc NPPES

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

OPTIMAL HEALTH DYNAMICS PC (NPI 1699773671) is a healthcare organization registered as an internist in Ogden, Utah and active in the NPI registry since July 2005. The organization lists Corey J Sondrup, President, as its authorized official.

NPPES Registry Identity

NPI1699773671
Entity TypeOrganization
Primary Taxonomy111NI0900X
Legal Business NameOPTIMAL HEALTH DYNAMICS PC
Location Address1117 COUNTRY HILLS DR, SUITE 2Ogden, UT 84403-2559
Mailing Address1117 Country Hills Dr, Suite 2Ogden, UT 84403-2559 · (801) 476-1752 · Fax (801) 476-3075
Phone(801) 476-1752
Fax(801) 476-3075
Organization SubpartNo
Authorized OfficialCorey J SondrupPresident · (801) 476-1752
Enumeration DateJuly 13, 2005
Last NPPES UpdateMay 12, 2017
✔ NPI 1699773671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · InternistChiropractic Providers
Taxonomy Code111NI0900X
License✔ Licensed in UT · 96317081-1202
Definition
The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease.
1117 COUNTRY HILLS DR, Ogden, UT 84403
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Other Identifiers 2

Medicare ID-Type Unspecified005715101
Medicare UPINU62190

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

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optimal Health Dynamics Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20050825001033Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optimal Health Dynamics PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Corey Sondrup, D.C.
Chiropractic
NPI 1447381223
1117 COUNTRY HILLS DR STE.2
Ogden, UT 84403
(801) 476-1752
Same 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 Optimal Health Dynamics PC's NPI number?

The NPI number for Optimal Health Dynamics PC is 1699773671. It was assigned to this organization in the NPPES registry on July 13, 2005.

Where is Optimal Health Dynamics PC located?

Optimal Health Dynamics PC is located at 1117 Country Hills Dr Suite 2, Ogden, UT 84403. The listed phone number is (801) 476-1752.

What is Optimal Health Dynamics PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Internist, with taxonomy code 111NI0900X.

Is Optimal Health Dynamics PC enrolled in Medicare?

Yes. Optimal Health Dynamics PC is registered in the Medicare PECOS enrollment system.

When is Optimal Health Dynamics PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Optimal Health Dynamics PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Optimal Health Dynamics PC. 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 Optimal Health Dynamics PC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Optimal Health Dynamics PC 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 Optimal Health Dynamics PC was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.