Active NPI
Choice Care Clinic of Utah, Inc.
- General Practice Physician
- South Jordan, UT
National Provider Identifier
1619248754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.