Active NPI
Gregory Leonard Mall
- Case Manager/Care Coordinator
- Grantsville, UT
National Provider Identifier
1083536239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 185 W Durfee St
Grantsville, UT 84029-9627 - Phone
- (385) 270-7312
- NPI assigned
- Jul 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | UT | Primary |
Addresses
Primary practice location
185 W Durfee St
Grantsville, UT 84029-9627
Mailing address
146 E Jackie Way Apt 8
Murray, UT 84107-5861
Phone (385) 270-7312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1083536239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 E JACKIE WAY APT 8",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075861",
"telephone_number": "385-270-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 W DURFEE ST",
"city": "GRANTSVILLE",
"state": "UT",
"postal_code": "840299627",
"telephone_number": "385-270-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALL",
"first_name": "GREGORY",
"middle_name": "LEONARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-29",
"last_updated": "2026-07-29",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grantsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.