Organization Active NPI

Upzen Health, Inc.

  • Chiropractor
  • Sandy, UT
National Provider Identifier
1043435233
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5555973-1202 Issued in UT
Legal business name
UPZEN HEALTH, INC.
Practice address
9055 S 255 W
Sandy, UT 84070-2654
Phone
(801) 572-2272
NPI assigned
Apr 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Dr. Matthew R Roller, D.C.
Title
President
Phone
(801) 572-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5555973-1202 UT Primary

Addresses

Primary practice location

9055 S 255 W
Sandy, UT 84070-2654

Mailing address

9055 S 255 W
Sandy, UT 84070-2654
Phone (801) 572-2272

Other identifiers 1

IdentifierTypeStateIssuer
870395551005MedicaidUT

National Provider Directory

National Provider Directory

Locations

9351 S 1300 E
Sandy, UT 84094
Phone (801) 255-3925

9055 S 255 W
Sandy, UT 84070
Phone (801) 572-2272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1043435233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 S 255 W",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702654",
            "telephone_number": "801-572-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 S 255 W",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702654",
            "telephone_number": "801-572-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPZEN HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-15",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-572-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5555973-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.