Active NPI
Kanda Hazelwood, DVM
- Veterinarian
- Sandy, UT
National Provider Identifier
1306289780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 3319482801
- Practice address
- 9414 S 1335 E
Sandy, UT 84092-2947 - Phone
- (801) 523-1176
- Fax
- (801) 553-3568
- NPI assigned
- Apr 16, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 3319482801 | UT | Primary |
Addresses
Primary practice location
9414 S 1335 E
Sandy, UT 84092-2947
Mailing address
9414 S 1335 E
Sandy, UT 84092-2947
Phone (801) 523-1176
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 |
|---|---|---|---|
| 3319482801 | UT | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1306289780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9414 S 1335 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840922947",
"telephone_number": "801-523-1176",
"fax_number": "801-553-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9414 S 1335 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840922947",
"telephone_number": "801-523-1176",
"fax_number": "801-553-3568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZELWOOD",
"first_name": "KANDA",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-16",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "UT",
"license": "3319482801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.