Organization Active NPI

Timber Peaks Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • South Jordan, UT
National Provider Identifier
1235935271
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TIMBER PEAKS MEDICAL LLC
Practice address
10808 S River Front Pkwy Ste 327
South Jordan, UT 84095-5136
Phone
(801) 984-8044
Fax
(801) 984-4583
NPI assigned
Feb 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Dave Hague
Title
Ceo
Phone
(801) 984-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10808 S River Front Pkwy Ste 327
South Jordan, UT 84095-5136

Mailing address

10808 S River Front Pkwy Ste 327
South Jordan, UT 84095-5136
Phone (801) 824-0672

National Provider Directory

National Provider Directory

Locations

10808 S River Front Pkwy
Ste 327
South Jordan, UT 84095
Phone (801) 984-8044

10808 S River Front Pkwy
Ste 326
South Jordan, UT 84095

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1235935271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 327",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955136",
            "telephone_number": "801-824-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 327",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955136",
            "telephone_number": "801-984-8044",
            "fax_number": "801-984-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER PEAKS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "HAGUE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-984-8044"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.