Dr. Jerry Park , DC
Chiropractor • Centerville, UT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Park has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerry Park, DC was a registered Chiropractor practicing in Centerville, UT. Throughout an active medical career spanning 14 years, Dr. Park provided care at the practice location at 224 S MAIN ST STE 1 until profile deactivation on 2021-09-24.
Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
224 S Main St Ste 1
Centerville, UT 840142206
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Centerville, UT
Practicing in Centerville, UT (942 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
98941
Chiropractic manipulative treatment, 3-4 spinal regions
|
219 | 21 | $100.00 | $39.16 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 24, 2021
NPI status registered as active in NPPES database
Registered at 224 S MAIN ST STE 1, CENTERVILLE, UT 840142206 (Tel: 8012922299)
Registered at 224 S MAIN ST STE 1, CENTERVILLE, UT 840142206 (Tel: 8012922299)
Recorded as JERRY PARK, DC
Chiropractor (License #174995-1202 in UT)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
224 S Main St Ste 1
Centerville, UT 840142206
Phone: 8012922299
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