NPIMap

Organization Active NPI

Douglas S. Mehr, M.D., P.C.

Doing business as Salt Lake Retina

  • Ophthalmology Physician
  • South Jordan, UT
National Provider Identifier
1508052234
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DOUGLAS S. MEHR, M.D., P.C.
Doing business as
Salt Lake Retina
Practice address
9643 Channing Dr
South Jordan, UT 84095-2818
Phone
(801) 302-0723
NPI assigned
Sep 17, 2007
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Douglas S. Mehr, M.D.NPI 1720070899
Title
President
Phone
(801) 260-0034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

9643 Channing Dr
South Jordan, UT 84095-2818

Mailing address

3855 W 7800 S
Suite 210
West Jordan, UT 84088-5560
Phone (801) 260-0034

Other names 1

  • Salt Lake Retina Doing business as

National Provider Directory

National Provider Directory

Locations

2376 N 400 E
Ste 101
Tooele, UT 84074
Phone (435) 843-8333

3855 W 7800 S
Ste 210
West Jordan, UT 84088
Phone (801) 254-2652

Practitioners & affiliated clinicians

Practitioners 4

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": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1508052234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 W 7800 S",
            "address_2": "SUITE 210",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885560",
            "telephone_number": "801-260-0034",
            "fax_number": "801-260-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9643 CHANNING DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952818",
            "telephone_number": "801-302-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS S. MEHR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "MEHR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-260-0034",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salt Lake Retina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 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.