NPIMap

Organization Active NPI

Iom Professionals

  • Audiologist
  • St George, UT
National Provider Identifier
1013263573
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5935522-4101 Issued in UT
Legal business name
IOM PROFESSIONALS
Practice address
1054 E Riverside Dr
Ste 201
St George, UT 84790-4825
Phone
(435) 688-8991
Fax
(435) 688-2122
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Mr. Kyle R Brown
Title
Office Manager
Phone
(435) 688-8991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 5935522-4101 UT Primary

Addresses

Primary practice location

1054 E Riverside Dr
Ste 201
St George, UT 84790-4825

Mailing address

1054 E Riverside Dr
Ste 201
St George, UT 84790-4825
Phone (435) 688-8991

Other names 1

  • RICHARD LUEKENGA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1013263573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 E RIVERSIDE DR",
            "address_2": "STE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904825",
            "telephone_number": "435-688-8991",
            "fax_number": "435-688-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 E RIVERSIDE DR",
            "address_2": "STE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904825",
            "telephone_number": "435-688-8991",
            "fax_number": "435-688-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOM PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-688-8991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "UT",
            "license": "5935522-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHARD LUEKENGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.