East West Health Park City

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5743144-1201 Issued in UT

Legal business name

EAST WEST HEALTH PARK CITY

Practice address

1790 Sun Peak Dr Ste A102
Park City, UT 84098-6651

Phone

(435) 640-1353

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Regan Archibald

Title

Partner

Phone

(435) 640-1353

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1376912089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR",
            "address_2": "SUITE B106",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986559",
            "telephone_number": "435-640-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE A102",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986651",
            "telephone_number": "435-640-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST HEALTH PARK CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "435-640-1353"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "5743144-1201",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "UT",
            "license": "4803531-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Duncan, PHARMD
• Charles Dupaix, PA-C
• Audrey Mulliken Duross, LCSW
• Tracey Dwyer, LMFT
• Shannon Jennings Early, DPT
• Madeline Kate Ekins, PT, DPT, CSCS
• Elevated Mental Health LLC
• Brigette Denell Elgie, MFT
• Elios Counseling and Coaching
• Elizabeth Dosher LCSW

• Acupuncturist in Park City, UT
• Providers in Park City, UT by specialty
• Acupuncturist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.