Active NPI
Restorative Health Center LLC
- Neonatal-Perinatal Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1083843262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 68141211204
- Legal business name
- RESTORATIVE HEALTH CENTER LLC
- Practice address
- 2150 S 1300 E
Suite 500
Salt Lake City, UT 84106-4333 - Phone
- (801) 990-4210
- NPI assigned
- Jul 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregg Lund, MD
- Title
- Owner
- Phone
- (801) 990-4210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 68141211204 | UT | Primary |
Addresses
Primary practice location
2150 S 1300 E
Suite 500
Salt Lake City, UT 84106-4333
Mailing address
2150 S 1300 E
Suite 500
Salt Lake City, UT 84106-4333
Phone (801) 990-4210
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247011200000",
"number": "1083843262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 S 1300 E",
"address_2": "SUITE 500",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841064333",
"telephone_number": "801-990-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 S 1300 E",
"address_2": "SUITE 500",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841064333",
"telephone_number": "801-990-4210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATIVE HEALTH CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-08",
"last_updated": "2009-07-08",
"status": "A",
"authorized_official_last_name": "LUND",
"authorized_official_first_name": "GREGG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-990-4210",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "UT",
"license": "68141211204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.