Organization Active NPI

Pulmonary & Sleep Clinic

  • Pulmonary Disease Physician
  • St George, UT
National Provider Identifier
1114390846
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
6996337-1205 Issued in UT
Legal business name
PULMONARY & SLEEP CLINIC
Practice address
2019 E Riverside Dr
St George, UT 84790-8134
Phone
(435) 656-1699
Fax
(435) 656-1699
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Dr. Carl P Hallenborg, MD
Title
Owner/Physician
Phone
(435) 669-7046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 6996337-1205 UT Primary

Addresses

Primary practice location

2019 E Riverside Dr
St George, UT 84790-8134

Mailing address

2019 E Riverside Dr
St George, UT 84790-8134
Phone (435) 656-1699

National Provider Directory

National Provider Directory

Locations

2019 E Riverside Dr
St George, UT 84790
Phone (435) 656-1699

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1114390846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908134",
            "telephone_number": "435-656-1699",
            "fax_number": "435-656-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908134",
            "telephone_number": "435-656-1699",
            "fax_number": "435-656-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & SLEEP CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "HALLENBORG",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "435-669-7046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "6996337-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.