Roxbury Institute Salt Lake City PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ROXBURY INSTITUTE SALT LAKE CITY PLLC

Practice address

6344 S 900 E
Murray, UT 84121-2439

Phone

(918) 851-3715

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kassie L Avila

Title

Manager

Phone

(918) 851-3715

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David Ross Smart, M.D.

  • Dermatology Physician
  • Lehi, UT
  • NPI 1295027449
  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1629855937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 S 900 E",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212439",
            "telephone_number": "918-851-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 S 900 E",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212439",
            "telephone_number": "918-851-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY INSTITUTE SALT LAKE CITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "KASSIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-851-3715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brent Rowell, DDS
• Haley Cody Rowland, M.D.
• Denise Rowley, NP
• James G Rowley, PA-C
• Kristi Rowley
• Roxbury Institute SLC Surgical Center LLC
• Roy H Trawick MD PC
• Kellie Roy, OTD, OTR/L
• Lindsay Nicole Roye
• Tanner Roylance, PHARMD

• Medical Specialty Clinic/Center in Murray, UT
• Providers in Murray, UT by specialty
• Medical Specialty Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.