Provider Demographics
NPI:1467343384
Name:SEMADENI CHIROPRACTIC
Entity type:Organization
Organization Name:SEMADENI CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:SEMADENI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:307-248-8347
Mailing Address - Street 1:6717 S 900 E STE 101
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-5755
Mailing Address - Country:US
Mailing Address - Phone:307-248-8347
Mailing Address - Fax:
Practice Address - Street 1:6717 S 900 E STE 101
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-5755
Practice Address - Country:US
Practice Address - Phone:307-248-8347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty