NPIMap

Organization Active NPI

Uintah Basin Spine and Disc Center, PC

  • Rehabilitation Hospital Unit
  • Roosevelt, UT
National Provider Identifier
1508110040
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
8432483-1202 Issued in UT
Legal business name
UINTAH BASIN SPINE AND DISC CENTER, PC
Practice address
1151 East Highway 40
Roosevelt, UT 84066
Phone
(435) 459-9828
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Brandon Lee White, D.C.
Title
President
Phone
(435) 459-9828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 8432483-1202 UT Primary

Addresses

Primary practice location

1151 East Highway 40
Roosevelt, UT 84066

Mailing address

PO Box 1780
Roosevelt, UT 84066-1780

National Provider Directory

National Provider Directory

Locations

1151 E Highway 40
Roosevelt, UT 84066
Phone (435) 459-9828

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1508110040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1780",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840661780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 EAST HIGHWAY 40",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "84066",
            "telephone_number": "435-459-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UINTAH BASIN SPINE AND DISC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-459-9828",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "UT",
            "license": "8432483-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.