DUDLEY CHIROPRACTIC & WELLNESS CENTER LC
NPI 1760669998
Clinic/Center in Salt Lake City, UT

Active since January 30, 2008
1053 E 2100 S, SALT LAKE CITY, UT 84106(801) 359-3995(801) 359-8489 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dudley Chiropractic & Wellness Center Lc NPPES

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

DUDLEY CHIROPRACTIC & WELLNESS CENTER LC (NPI 1760669998) is a healthcare organization registered as a clinic/center in Salt Lake City, Utah and active in the NPI registry since January 2008. The organization lists Mark Dudley, Owner, as its authorized official.

NPPES Registry Identity

NPI1760669998
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDUDLEY CHIROPRACTIC & WELLNESS CENTER LC
Location Address1053 E 2100 SSalt Lake City, UT 84106
Mailing Address1053 E 2100 SSalt Lake City, UT 84106-2349 · (801) 359-3995 · Fax (801) 359-8489
Fax(801) 359-8489
Organization SubpartNo
Authorized OfficialMark DudleyOwner · (801) 359-3995
Enumeration DateJanuary 30, 2008
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1760669998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
1053 E 2100 S, Salt Lake City, UT 84106

Other Identifiers 1

Medicare PIN000057522UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dudley Chiropractic & Wellness Center Lc 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 Dudley Chiropractic & Wellness Center Lc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1689784019
1053 E 2100 S
Salt Lake City, UT 84106
(801) 359-3995
✔ 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 Dudley Chiropractic & Wellness Center Lc's NPI number?

The NPI number for Dudley Chiropractic & Wellness Center Lc is 1760669998. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Dudley Chiropractic & Wellness Center Lc located?

Dudley Chiropractic & Wellness Center Lc is located at 1053 E 2100 S, Salt Lake City, UT 84106. The listed phone number is (801) 359-3995.

What is Dudley Chiropractic & Wellness Center Lc's specialty?

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

Is Dudley Chiropractic & Wellness Center Lc enrolled in Medicare?

Yes. Dudley Chiropractic & Wellness Center Lc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dudley Chiropractic & Wellness Center Lc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dudley Chiropractic & Wellness Center Lc. 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.

When was this NPI record last updated?

The NPPES record for Dudley Chiropractic & Wellness Center Lc was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.