Active NPI
Kow Holdings LLC
- Eyewear Supplier
- Murray, UT
National Provider Identifier
1619653789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- KOW HOLDINGS LLC
- Practice address
- 228 E 6400 S
Murray, UT 84107-7305 - Phone
- (801) 263-9125
- NPI assigned
- Jun 23, 2023
- Last updated
- Jun 23, 2023
- 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
- Riley Risto
- Title
- Managing Member
- Phone
- (435) 305-9014
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
228 E 6400 S
Murray, UT 84107-7305
Mailing address
345 W 600 S Ste 118
Heber City, UT 84032-2283
Phone (435) 305-9014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
345 W 600 S
Ste 118
Heber City, UT 84032
228 E Winchester St
Salt Lake City, UT 84107
Phone (801) 263-9125
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1619653789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 W 600 S STE 118",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840322283",
"telephone_number": "435-305-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 E 6400 S",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077305",
"telephone_number": "801-263-9125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOW HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-23",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "RISTO",
"authorized_official_first_name": "RILEY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "435-305-9014"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"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 Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.