Intermountain Health and Wellness LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

1686321205 Issued in UT

Legal business name

INTERMOUNTAIN HEALTH AND WELLNESS LLC

Practice address

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

Phone

(801) 981-8795

Fax

(801) 987-8051

NPI assigned

Apr 14, 2017

Last updated

Apr 14, 2017By the provider in NPPES

Organization subpart

No

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

Clinic Director

Phone

(801) 981-8795

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1174057277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 S CREEK RD",
            "address_2": "SUITE 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": "SUITE 104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936158",
            "telephone_number": "801-981-8795",
            "fax_number": "801-987-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "LUDDINGTON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "SPIERS",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "801-981-8795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "48060411202",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "1686321205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.