Vista Medical Centers LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VISTA MEDICAL CENTERS LLC

Practice address

3590 W 9000 S Ste 240
West Jordan, UT 84088-8864

Phone

(801) 756-7800

Fax

(801) 756-7805

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Eric C Lee, DC

Title

Owner

Phone

(801) 756-7800

Specialties & licenses 2

Addresses

Other names 2

• Vista Spine & Injury Care Center Doing business as
• Vista Spine and Injury Care Center Doing business as

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1184000366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 E BAMBERGER DR",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840035504",
            "telephone_number": "801-756-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 W 9000 S STE 240",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888864",
            "telephone_number": "801-756-7800",
            "fax_number": "801-756-7805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Triumph Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434999",
            "country_code": "US",
            "telephone_number": "801-756-7800",
            "fax_number": "801-756-7805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISTA MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-756-7800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Spine & Injury Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Spine & Injury Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Spine and Injury Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.