NPIMap

Organization Active NPI

University of Utah

Doing business as Pain Management Center

  • Multi-Specialty Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1003713090
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY OF UTAH
Doing business as
Pain Management Center
Practice address
615 S Arapeen Dr Ste 100
Salt Lake City, UT 84108-1239
Phone
(801) 581-7246
NPI assigned
Oct 22, 2026
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF UTAHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charlton Park
Title
Cfo
Phone
(801) 585-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

615 S Arapeen Dr Ste 100
Salt Lake City, UT 84108-1239

Mailing address

PO Box 511258
Los Angeles, CA 90051-7813
Phone (801) 587-6760

Other names 1

  • PAIN MANAGEMENT CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Utah Heal73 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1003713090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511258",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517813",
            "telephone_number": "801-587-6760",
            "fax_number": "801-587-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S ARAPEEN DR STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081239",
            "telephone_number": "801-581-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF UTAH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF UTAH",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHARLTON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-585-5280"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN MANAGEMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.