Active NPI
John Ralph Pater
- Audiologist
- Salt Lake City, UT
National Provider Identifier
1427223668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1039154101
- Practice address
- 2964 W 4700 S
Salt Lake City, UT 84129-2557 - Phone
- (801) 417-9696
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1039154101 | UT | Primary |
Addresses
Primary practice location
2964 W 4700 S
Salt Lake City, UT 84129-2557
Mailing address
2964 West 4700 South
Suite #116
West Valley City, UT 84129
Phone (801) 417-9696
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039154101 | UT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1427223668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2964 WEST 4700 SOUTH",
"address_2": "SUITE #116",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "84129",
"telephone_number": "801-417-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2964 W 4700 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841292557",
"telephone_number": "801-417-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATER",
"first_name": "JOHN",
"middle_name": "RALPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "1039154101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.