Organization Active NPI

Audiology Associates of Salt Lake City, Inc.

  • Audiologist
  • South Jordan, UT
National Provider Identifier
1407979479
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
100046-4101 Issued in UT
Legal business name
AUDIOLOGY ASSOCIATES OF SALT LAKE CITY, INC.
Practice address
10441 S Redwood Rd
South Jordan, UT 84095-8502
Phone
(801) 302-8022
NPI assigned
Apr 6, 2007
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Mr. Charles Rex Scott, M.A., CCC-ANPI 1912044082
Title
Owner
Phone
(801) 302-8022

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
Audiologist 231H00000X 100046-4101 UT Primary

Addresses

Primary practice location

10441 S Redwood Rd
South Jordan, UT 84095-8502

Mailing address

10441 S Redwood Rd
South Jordan, UT 84095-8502
Phone (801) 302-8022

Other identifiers 2

IdentifierTypeStateIssuer
52850418401001OtherUTBLUE CROSS BLUE SHIELS
528504184003MedicaidUT

National Provider Directory

National Provider Directory

Locations

130 W Main St
Ste E
Lehi, UT 84043
Phone (800) 244-9001

57 N 100 E
#3
Roosevelt, UT 84066
Phone (800) 244-9001

370 E South Temple
Ste 150
Salt Lake Cty, UT 84111
Phone (801) 364-8692

10441 S Redwood Rd
South Jordan, UT 84095
Phone (801) 302-8922

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1407979479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958502",
            "telephone_number": "801-302-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958502",
            "telephone_number": "801-302-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY ASSOCIATES OF SALT LAKE CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-302-8022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "100046-4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELS",
            "identifier": "52850418401001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528504184003",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.