Organization Active NPI

Alta Canyon Spine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Murray, UT
National Provider Identifier
1477081412
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
ALTA CANYON SPINE LLC
Practice address
5911 S Fashion Blvd Ste 200
Murray, UT 84107-7210
Phone
(385) 541-2225
Fax
(855) 541-2200
NPI assigned
Jun 2, 2017
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Juli Call
Title
Practice Manager
Phone
(385) 541-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

5911 S Fashion Blvd Ste 200
Murray, UT 84107-7210

Mailing address

5911 S Fashion Blvd Ste 200
Murray, UT 84107-7210
Phone (385) 541-2225

Other identifiers 1

IdentifierTypeStateIssuer
1639371149OtherUTNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171016001832 UT Part B Supplier - Clinic/Group Practice 7315213527 Receives reassigned benefits from 2 practitioners
Practice locations: Murray, UT

National Provider Directory

National Provider Directory

Locations

1946 W 5600 S
Roy, UT 84067
Phone (801) 314-2345

5911 S Fashion Blvd
Ste 200
Salt Lake City, UT 84107
Phone (385) 541-2225

3658 W 9800 S
South Jordan, UT 84009
Phone (801) 314-2345

1627 W 9000 S
West Jordan, UT 84088
Phone (801) 314-2345

Practitioners & affiliated clinicians

Practitioners 2

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": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1477081412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 S FASHION BLVD STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077210",
            "telephone_number": "385-541-2225",
            "fax_number": "385-541-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 S FASHION BLVD STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077210",
            "telephone_number": "385-541-2225",
            "fax_number": "855-541-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA CANYON SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "385-541-2230"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639371149",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.