Organization Active NPI

Choice Care Clinic of Utah, Inc.

  • General Practice Physician
  • South Jordan, UT
National Provider Identifier
1619248754
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHOICE CARE CLINIC OF UTAH, INC.
Practice address
406 W South Jordan Pkwy
Suite 450
South Jordan, UT 84095-3965
Phone
(801) 984-3418
Fax
(801) 984-3479
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Richard A Carter
Title
Officer
Phone
(801) 984-3407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

406 W South Jordan Pkwy
Suite 450
South Jordan, UT 84095-3965

Mailing address

117 Seaboard LN BLDG E
Attn: Iasis Corporate Legal Department
Franklin, TN 37067-2855
Phone (615) 844-2747

National Provider Directory

National Provider Directory

Locations

117 Seaboard Ln
Bldg E
Franklin, TN 37067

406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1619248754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SEABOARD LN BLDG E",
            "address_2": "ATTN: IASIS CORPORATE LEGAL DEPARTMENT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672855",
            "telephone_number": "615-844-2747",
            "fax_number": "615-467-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 450",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953965",
            "telephone_number": "801-984-3418",
            "fax_number": "801-984-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE CARE CLINIC OF UTAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "801-984-3407"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 2012; 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.