Organization Active NPI

Dry Creek Integrative Medical LLC

  • General Practice Physician
  • Lehi, UT
National Provider Identifier
1366056269
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DRY CREEK INTEGRATIVE MEDICAL LLC
Practice address
3300 N Running Creek Way BLDG E
Lehi, UT 84043-5563
Phone
(801) 766-4113
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Aaron WalkerNPI 1942460043
Title
Employee
Phone
(801) 380-2104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3300 N Running Creek Way BLDG E
Lehi, UT 84043-5563

Mailing address

3300 N Running Creek Way BLDG E
Lehi, UT 84043-5563

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lehi

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1366056269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N RUNNING CREEK WAY BLDG E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N RUNNING CREEK WAY BLDG E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435563",
            "telephone_number": "801-766-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRY CREEK INTEGRATIVE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "801-380-2104"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lehi",
            "affiliation": "N",
            "address_1": "3300 N Running Creek Way Ste 100",
            "city": "Lehi",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840435563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.