Active NPI
Coral Springs Children'S Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- West Jordan, UT
National Provider Identifier
1255298089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CORAL SPRINGS CHILDREN'S SURGERY CENTER, LLC
- Practice address
- 8977 S 1300 #475
West Jordan, UT 84088 - Phone
- (301) 494-3000
- NPI assigned
- Jan 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Wheeler
- Title
- Ceo
- Phone
- (301) 494-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
8977 S 1300 #475
West Jordan, UT 84088
Mailing address
8977 S 1300 #475
West Jordan, UT 84088
Phone (301) 494-3000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1255298089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8977 S 1300 #475",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "84088",
"telephone_number": "301-494-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8977 S 1300 #475",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "84088",
"telephone_number": "301-494-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORAL SPRINGS CHILDREN'S SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-494-3000"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.