NPIMap

Organization Active NPI

Rocky Mountain Ekg

  • Clinic/Center
  • West Jordan, UT
National Provider Identifier
1417008269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6304541-3102 Issued in UT
Legal business name
ROCKY MOUNTAIN EKG
Practice address
2313 Tierra Rose Dr
West Jordan, UT 84084-5812
Phone
(801) 641-8031
Fax
(801) 849-8432
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Paul Neider, RN
Title
RN, Director
Phone
(801) 641-8031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6304541-3102 UT Primary

Addresses

Primary practice location

2313 Tierra Rose Dr
West Jordan, UT 84084-5812

Mailing address

2313 Tierra Rose Dr
West Jordan, UT 84084-5812
Phone (801) 641-8031

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417008269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 TIERRA ROSE DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845812",
            "telephone_number": "801-641-8031",
            "fax_number": "801-849-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 TIERRA ROSE DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845812",
            "telephone_number": "801-641-8031",
            "fax_number": "801-849-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN EKG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEIDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "RN, DIRECTOR",
        "authorized_official_telephone_number": "801-641-8031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "6304541-3102",
            "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 Aug 22, 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.