Actijoint, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

6453925-1205 Issued in UT

Legal business name

ACTIJOINT, LLC

Practice address

11762 S State St
Suite 110
Draper, UT 84020-7155

Phone

(801) 495-3539

Fax

(801) 996-8785

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Ryan K Riggs, MD

Title

Owner

Phone

(801) 651-4876

Specialties & licenses 2

Addresses

Other names 1

• The Active Joint Institute Doing business as

Locations

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1376810176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "address_2": "SUITE 110",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207155",
            "telephone_number": "801-390-0188",
            "fax_number": "801-996-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "address_2": "SUITE 110",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207155",
            "telephone_number": "801-495-3539",
            "fax_number": "801-996-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIJOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-651-4876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "UT",
            "license": "6453925-1205",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Active Joint Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Draper, UT
• Providers in Draper, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.