Organization Active NPI

Utah Spine Institute

  • Ambulatory Surgical Clinic/Center
  • Murray, UT
National Provider Identifier
1619347135
Registry record updated Sep 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
261QA1903X Issued in UT
Legal business name
UTAH SPINE INSTITUTE
Practice address
5801 S Fashion Blvd
Suite 180
Murray, UT 84107-6159
Phone
(801) 262-7246
Fax
(801) 262-3442
NPI assigned
Sep 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2015

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

Authorized official

Name
Dr. Vikas Garg, M.D, MSA
Title
Medical Director/ Owner
Phone
(206) 225-0724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 261QA1903X UT Primary

Addresses

Primary practice location

5801 S Fashion Blvd
Suite 180
Murray, UT 84107-6159

Mailing address

5801 S Fashion Blvd
Suite 180
Murray, UT 84107-6159
Phone (801) 262-7246

National Provider Directory

National Provider Directory

Locations

5801 S Fashion Blvd
Ste 180
Salt Lake City, UT 84107
Phone (801) 706-2100

NPI Registry JSON

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443225600000",
    "number": "1619347135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 S FASHION BLVD",
            "address_2": "SUITE 180",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076159",
            "telephone_number": "801-262-7246",
            "fax_number": "801-262-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S FASHION BLVD",
            "address_2": "SUITE 180",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076159",
            "telephone_number": "801-262-7246",
            "fax_number": "801-262-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "206-225-0724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, MSA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": "261QA1903X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; 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.