Organization Active NPI

Brett Luddington, Inc.

Doing business as Intermountain Health and Wellness

  • Multi-Specialty Clinic/Center
  • Sandy, UT
National Provider Identifier
1154750149
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
4806041-1202 Issued in UT
Legal business name
BRETT LUDDINGTON, INC.
Doing business as
Intermountain Health and Wellness
Practice address
7430 S Creek Rd
Ste 104
Sandy, UT 84093-6158
Phone
(801) 981-8795
Fax
(801) 987-8051
NPI assigned
Nov 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Dr. Brett Spiers Luddington, D.C.
Title
President
Phone
(801) 981-8795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 4806041-1202 UT Primary

Addresses

Primary practice location

7430 S Creek Rd
Ste 104
Sandy, UT 84093-6158

Mailing address

7430 S Creek Rd
Ste 104
Sandy, UT 84093-6158
Phone (801) 981-8795

Other identifiers 1

IdentifierTypeStateIssuer
U000086375OtherUTMEDICARE ID

Other names 1

  • Intermountain Health and Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1154750149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 S CREEK RD",
            "address_2": "STE 104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936158",
            "telephone_number": "801-981-8795",
            "fax_number": "801-987-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 S CREEK RD",
            "address_2": "STE 104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936158",
            "telephone_number": "801-981-8795",
            "fax_number": "801-987-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT LUDDINGTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "LUDDINGTON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "SPIERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-981-8795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "UT",
            "license": "4806041-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "U000086375",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 24, 2014; 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.