Benita Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

932651751205 Issued in UT

Legal business name

BENITA MEDICAL LLC

Practice address

3465 Pioneer Pkwy
Ste 2
West Valley City, UT 84120-2076

Phone

(801) 963-7636

Fax

(801) 963-8130

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ray Morris III, M.D,NPI 1023171014

Title

Owner

Phone

(801) 973-7636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ray Morris III, MD

  • Family Medicine Physician
  • West Valley City, UT
  • NPI 1023171014
  Authorized official Same address or phone

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326263773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 S 4155 W",
            "address_2": "STE 2",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "84120",
            "telephone_number": "801-963-7636",
            "fax_number": "801-963-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 PIONEER PKWY",
            "address_2": "STE 2",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202076",
            "telephone_number": "801-963-7636",
            "fax_number": "801-963-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENITA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-973-7636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "932651751205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaver Valley Hospital (Alpine Meadow Rehabilitation and Nursing)
• Natalie Beesley
• Lorrie Belcher, CRNA
• Aalyah Bell
• Colin Lee Bench, DC
• Rachael A Bennett, FNP
• Blake Welch Bentley
• Josef A Benzon, D.M.D.
• Wayne Berg, FNP
• Heather Missy Berkel, APRN

• Family Medicine Physician in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.