NPIMap

Organization Active NPI

Pinnacle Preventative Health

  • Primary Care Clinic/Center
  • South Ogden, UT
National Provider Identifier
1174376446
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PINNACLE PREVENTATIVE HEALTH
Practice address
968 Chambers St Ste 5
South Ogden, UT 84403-5082
Phone
(801) 605-3801
Fax
(801) 752-3068
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Kenzlee WoodenNPI 1043851116
Title
Owner
Phone
(801) 678-2518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

968 Chambers St Ste 5
South Ogden, UT 84403-5082

Mailing address

968 Chambers St Ste 5
South Ogden, UT 84403-5082
Phone (801) 605-3801

Other practice location 1

169 N Gateway Dr Ste 130
Providence, UT 84332-9737
Phone (801) 605-3801

National Provider Directory

National Provider Directory

Locations

968 Chambers St
Ste 5
South Ogden, UT 84403
Phone (801) 605-3801

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1174376446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 CHAMBERS ST STE 5",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035082",
            "telephone_number": "801-605-3801",
            "fax_number": "801-752-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 CHAMBERS ST STE 5",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035082",
            "telephone_number": "801-605-3801",
            "fax_number": "801-752-3068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 N Gateway Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "UT",
            "postal_code": "843329737",
            "country_code": "US",
            "telephone_number": "801-605-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE PREVENTATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "WOODEN",
        "authorized_official_first_name": "KENZLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-678-2518"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.