NPIMap

Organization Active NPI

Utah Podiatric Physicians and Surgeons Group LLC

Doing business as Utah Musculoskeletal Specialists (UMS)

  • Podiatrist
  • Salt Lake City, UT
National Provider Identifier
1174942460
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC
Doing business as
Utah Musculoskeletal Specialists (UMS)
Practice address
430 N 400 W
Salt Lake City, UT 84103-1229
Phone
(801) 532-1822
Fax
(877) 286-5491
NPI assigned
Apr 15, 2014
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Dr. Dan Preece, DPM
Title
Chairman
Phone
(801) 532-1822

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Primary Care Nurse Practitioner 363LP2300X NU
Interventional Cardiology Physician 207RI0011X NU
Podiatrist 213E00000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

430 N 400 W
Salt Lake City, UT 84103-1229

Mailing address

430 N 400 W
Salt Lake City, UT 84103-1229
Phone (801) 532-1822

Other names 1

  • Utah Musculoskeletal Specialists (UMS) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141204002347 UT Part B Supplier - Clinic/Group Practice 4183946940 Receives reassigned benefits from 10 practitioners
Practice locations: Taylorsville, UT; West Jordan, UT; Sandy, UT; Salt Lake City, UT; Highland, UT; Eagle Mountain, UT

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1174942460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N 400 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031229",
            "telephone_number": "801-532-1822",
            "fax_number": "801-532-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N 400 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031229",
            "telephone_number": "801-532-1822",
            "fax_number": "877-286-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "PREECE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "801-532-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Musculoskeletal Specialists (UMS)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Utah Musculoskeletal Specialists (UMS)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.