Dkmcomber Clinical Services

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

378942-4405 Issued in UT

Legal business name

DKMCOMBER CLINICAL SERVICES

Doing business as

Restorative Neurology

Practice address

250 N Fairgrounds Rd
Ste 2
Price, UT 84501-4201

Phone

(801) 870-0329

NPI assigned

Jun 2, 2018

Last updated

Aug 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Kenneth McOmber, ACNPNPI 1497901052

Title

Director

Phone

(801) 870-0329

Specialties & licenses 1

Addresses

Other names 1

• Restorative Neurology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David K McOmber, APRN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Price, UT
  • NPI 1497901052
  Authorized official Same address or phone

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

{
    "created_epoch": "1527897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1023500360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010362",
            "telephone_number": "435-613-0733",
            "fax_number": "435-613-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N FAIRGROUNDS RD",
            "address_2": "STE 2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014201",
            "telephone_number": "801-870-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKMCOMBER CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-02",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "MCOMBER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-870-0329",
        "authorized_official_credential": "ACNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "378942-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damon Davis
• Jackson Davis
• Kelly Davis
• Dennis a Blackburn, D.P.M.
• Linda Dinkelman
• Karen Dolan, LCSW
• Dotson Community Practice
• Laura May Dotson
• Bryce Robert Dougal, CRNA
• Johnny Downard, OT

• Acute Care Nurse Practitioner in Price, UT
• Providers in Price, UT by specialty
• Acute Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.