Active NPI
Cordell E Logan, ND
- Naturopath
- Draper, UT
National Provider Identifier
1205437548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 100519-9932
- Practice address
- 126 W 12300 S Ste C
Draper, UT 84020-9801 - Phone
- (385) 237-3110
- NPI assigned
- Nov 3, 2020
- Last updated
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 100519-9932 | UT | Primary |
Addresses
Primary practice location
126 W 12300 S Ste C
Draper, UT 84020-9801
Mailing address
1994 W Carriage Ave
Riverton, UT 84065-5748
Phone (801) 708-9076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100519-9932 | UT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1205437548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1994 W CARRIAGE AVE",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840655748",
"telephone_number": "801-708-9076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 W 12300 S STE C",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209801",
"telephone_number": "385-237-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "CORDELL",
"middle_name": "E",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "UT",
"license": "100519-9932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.