Active NPI
Aaron Sanders Pack, APC
- Student in an Organized Health Care Education/Training Program
- Salt Lake City, UT
National Provider Identifier
1508163130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 7635019-6009
- Practice address
- 5965 S 900 E
Salt Lake City, UT 84121-1720 - Phone
- (801) 263-7100
- NPI assigned
- Feb 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 7635019-6009 | UT | Primary |
Addresses
Primary practice location
5965 S 900 E
Salt Lake City, UT 84121-1720
Mailing address
528 E 3400 N
Provo, UT 84604-4653
Phone (801) 261-1442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7635019-6009 | UT | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1508163130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 E 3400 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846044653",
"telephone_number": "801-261-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841211720",
"telephone_number": "801-263-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACK",
"first_name": "AARON",
"middle_name": "SANDERS",
"credential": "APC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "UT",
"license": "7635019-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.