NPIMap

Individual provider Active NPI

Pari Mashkuri, MD

  • Pediatrics Physician
  • West Jordan, UT
National Provider Identifier
1407079908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
319791 1205 Issued in UT
Practice address
8822 Redwood Rd
C-211
West Jordan, UT 84088-9336
Phone
(801) 563-1975
Fax
(801) 563-1984
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 319791 1205 UT Primary

Addresses

Primary practice location

8822 Redwood Rd
C-211
West Jordan, UT 84088-9336

Mailing address

8822 Redwood Rd
C-211
West Jordan, UT 84088-9336
Phone (801) 563-1975

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
319791 1205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Children'S Clinic Past Accepting new patients
Biomechanics Institute PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pari.mashkuri.1@16098.direct.athenahealth.com
  • Direct secure messaging: pma@swcclinic.opdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407079908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8822 REDWOOD RD",
            "address_2": "C-211",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889336",
            "telephone_number": "801-563-1975",
            "fax_number": "801-563-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8822 REDWOOD RD",
            "address_2": "C-211",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889336",
            "telephone_number": "801-563-1975",
            "fax_number": "801-563-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHKURI",
        "first_name": "PARI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "319791 1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.