Organization Active NPI

Donald R Call Jr DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • South Jordan, UT
National Provider Identifier
1063693844
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
50881690501 Issued in UT
Legal business name
DONALD R CALL JR DPM LLC
Practice address
1325 W South Jordan Pkwy
Ste 105
South Jordan, UT 84095-9060
Phone
(801) 254-3123
Fax
(801) 254-3969
NPI assigned
Nov 20, 2007
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Donald R Call Jr., DPMNPI 1861594624
Title
Owner
Phone
(801) 254-3123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 50881690501 UT
Foot & Ankle Surgery Podiatrist 213ES0103X 50881690501 UT Primary

Addresses

Primary practice location

1325 W South Jordan Pkwy
Ste 105
South Jordan, UT 84095-9060

Mailing address

1325 W South Jordan Pkwy
Ste 105
South Jordan, UT 84095-9060
Phone (801) 254-3123

Other identifiers 2

IdentifierTypeStateIssuer
554552880015MedicaidUT
554552880029MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050804001259 UT Part B Supplier - Clinic/Group Practice 9537198064 Receives reassigned benefits from 1 practitioner
Practice locations: South Jordan, UT

National Provider Directory

National Provider Directory

Locations

12176 S 1000 E
Ste B1
Draper, UT 84020
Phone (801) 523-9581

1325 W South Jordan Pkwy
Ste 105
South Jordan, UT 84095
Phone (801) 254-3123

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1063693844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W SOUTH JORDAN PKWY",
            "address_2": "STE 105",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959060",
            "telephone_number": "801-254-3123",
            "fax_number": "801-254-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W SOUTH JORDAN PKWY",
            "address_2": "STE 105",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959060",
            "telephone_number": "801-254-3123",
            "fax_number": "801-254-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R CALL JR DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-254-3123",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "50881690501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "50881690501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554552880015",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554552880029",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.