NPIMap

Organization Active NPI

Kidney & Hypertension Institute of Utah PLLC

  • Nephrology Physician
  • Layton, UT
National Provider Identifier
1508073545
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY & HYPERTENSION INSTITUTE OF UTAH PLLC
Practice address
2132 N 1700 W
Ste 110
Layton, UT 84041-7057
Phone
(801) 779-3500
Fax
(866) 277-0853
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Kristi Dmytriw
Title
VP of Operations
Phone
(303) 809-2855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 64199708905 UT
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2132 N 1700 W
Ste 110
Layton, UT 84041-7057

Mailing address

2132 N 1700 W
Ste 110
Layton, UT 84041-7059
Phone (801) 779-3500

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3711 S Mopac Expy
Ste 500
Austin, TX 78746

1580 W Antelope Dr
Ste 145
Layton, UT 84041
Phone (801) 776-7083

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/20/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1508073545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 N 1700 W",
            "address_2": "STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417059",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 N 1700 W",
            "address_2": "STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417057",
            "telephone_number": "801-779-3500",
            "fax_number": "866-277-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY & HYPERTENSION INSTITUTE OF UTAH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "DMYTRIW",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "303-809-2855"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "64199708905",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.