Organization Active NPI

WDC LLC

Doing business as CPT Ctr

  • Clinic/Center
  • American Fork, UT
National Provider Identifier
1033341045
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WDC LLC
Doing business as
CPT Ctr
Practice address
98 N West State Rd
American Fork, UT 84003-1486
Phone
(877) 292-4242
NPI assigned
Aug 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Terresa Bristol
Title
Manager
Phone
(801) 636-8970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

98 N West State Rd
American Fork, UT 84003-1486

Mailing address

PO Box 1504
Draper, UT 84020-1504

Other names 1

  • CPT CTR Doing business as

National Provider Directory

National Provider Directory

Locations

98 N West State Rd
American Fork, UT 84003
Phone (801) 756-0111

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1033341045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1504",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 N WEST STATE RD",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031486",
            "telephone_number": "877-292-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WDC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "BRISTOL",
        "authorized_official_first_name": "TERRESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-636-8970"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPT CTR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.