FREEDOM CLINIC OF CHIROPRACTIC
NPI 1750987657
Clinic/Center in South Jordan, UT

NPI Status: Active since December 07, 2020

Contact Information

4775 W DAYBREAK PKWY STE 102
SOUTH JORDAN, UT
ZIP 84009
Phone: (801) 571-1338
Fax: (801) 516-4438

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  • Organization
  • Clinic/Center

About FREEDOM CLINIC OF CHIROPRACTIC

This page provides the complete NPI Profile along with additional information for Freedom Clinic Of Chiropractic, a provider established in South Jordan, Utah operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750987657 assigned on December 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Freedom Clinic Of Chiropractic. The authorized official of this NPI record is Steven J Chalk Dc (Owner)

NPI
1750987657
Provider Legal Name
CHALK WELLNESS PLLC
Other Organization Name
FREEDOM CLINIC OF CHIROPRACTIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4775 W DAYBREAK PKWY STE 102 SOUTH JORDAN, UT 84009
Location Phone
(801) 571-1338
Location Fax
(801) 516-4438
Mailing Address
4775 W DAYBREAK PKWY STE 102 SOUTH JORDAN, UT 84009
Mailing Phone
(801) 571-1338
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2020
Last Update Date
05-06-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEVEN J CHALK DC

Authorized Official Title
OWNER
Authorized Official Phone
(801) 571-1338

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750987657
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710018814610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 8 + 8 + 1 + 4 + 6 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1750987657 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447911441FREEDOM INTEGRATED MEDICINE LLC
Organization
Clinic/Center (Health Service)4775 W DAYBREAK PKWY STE 102
SOUTH JORDAN, UT 84009
(801) 571-1338
1780402073 MAKELSEA KAY MAYER RN
Individual
Registered Nurse4775 W DAYBREAK PKWY STE 102
SOUTH JORDAN, UT 84009
(435) 592-9886

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750987657, enumerated in the NPI registry as an "organization" on December 07, 2020

The provider is located at 4775 W Daybreak Pkwy Ste 102 South Jordan, Ut 84009 and the phone number is (801) 571-1338

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on December 07, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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