NPIMap

Organization Active NPI

Hannele Laine, MD, PC

  • Specialist
  • SLC, UT
National Provider Identifier
1629376405
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
57672111205 Issued in UT
Legal business name
HANNELE LAINE, MD, PC
Practice address
455 E South Temple
Ste 202
SLC, UT 84111-1350
Phone
(801) 355-9951
Fax
(801) 355-9968
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Mrs. Jackie Andersen
Title
Office Manager
Phone
(801) 355-9951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 57672111205 UT Primary

Addresses

Primary practice location

455 E South Temple
Ste 202
SLC, UT 84111-1350

Mailing address

455 E South Temple
Ste 202
SLC, UT 84111-1350
Phone (801) 355-9951

National Provider Directory

National Provider Directory

Locations

455 E South Temple
#202
Slc, UT 84111
Phone (801) 355-9951

455 E South Temple
Ste 202
Slc, UT 84111
Phone (801) 355-9951

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1629376405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E SOUTH TEMPLE",
            "address_2": "STE 202",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841111350",
            "telephone_number": "801-355-9951",
            "fax_number": "801-355-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E SOUTH TEMPLE",
            "address_2": "STE 202",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841111350",
            "telephone_number": "801-355-9951",
            "fax_number": "801-355-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNELE LAINE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-355-9951",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "57672111205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.