Active NPI
Brett Luddington, Inc.
Doing business as Intermountain Health and Wellness
- Multi-Specialty Clinic/Center
- Sandy, UT
National Provider Identifier
1154750149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 4806041-1202
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U000086375 | Other | UT | MEDICARE ID |
Other names 1
- Intermountain Health and Wellness
National Provider Directory
National Provider DirectoryNPI 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.