NPIMap

Organization Active NPI

Utah Pain Relief Institute South, LLC

  • Specialist
  • South Jordan, UT
National Provider Identifier
1437488798
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
09W56878 Issued in UT
Legal business name
UTAH PAIN RELIEF INSTITUTE SOUTH, LLC
Practice address
10464 S Redwood Rd
South Jordan, UT 84095-8501
Phone
(801) 281-0555
Fax
(801) 281-0444
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Mrs. Jennie N Nguyen
Title
Manager
Phone
(801) 466-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 09W56878 UT Primary

Addresses

Primary practice location

10464 S Redwood Rd
South Jordan, UT 84095-8501

Mailing address

10464 S Redwood Rd
South Jordan, UT 84095-8501
Phone (801) 281-0555

Other names 1

  • UPRI South, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

10464 S Redwood Rd
South Jordan, UT 84095
Phone (801) 285-7052

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1437488798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10464 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958501",
            "telephone_number": "801-281-0555",
            "fax_number": "801-281-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10464 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958501",
            "telephone_number": "801-281-0555",
            "fax_number": "801-281-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PAIN RELIEF INSTITUTE SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-466-7246",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "09W56878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPRI South, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 28, 2010; 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.