Organization Active NPI

High Desert Renal PC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Provo, UT
National Provider Identifier
1649089814
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
HIGH DESERT RENAL PC
Practice address
1675 N Freedom Blvd Ste 15
Provo, UT 84604-6909
Phone
(855) 759-7365
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Dr. Pace Romney, MDNPI 1023453768
Title
Owner
Phone
(208) 705-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1675 N Freedom Blvd Ste 15
Provo, UT 84604-6909

Mailing address

1751 E Auburn Ridge LN
Draper, UT 84020-5514

Other practice location 1

1159 E 200 N Ste 150
American Fork, UT 84003-2052
Phone (888) 893-7783

Other practice location 2

15 S 1000 E Ste 50
Payson, UT 84651-5591
Phone (888) 883-6407

National Provider Directory

National Provider Directory

Locations

1159 E 200 N
Ste 150
American Fork, UT 84003
Phone (801) 763-0652

Practitioners & affiliated clinicians

Practitioners 1

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": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1649089814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E AUBURN RIDGE LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N FREEDOM BLVD STE 15",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046909",
            "telephone_number": "855-759-7365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1159 E 200 N Ste 150",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032052",
            "country_code": "US",
            "telephone_number": "888-893-7783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 S 1000 E Ste 50",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846515591",
            "country_code": "US",
            "telephone_number": "888-883-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGH DESERT RENAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "ROMNEY",
        "authorized_official_first_name": "PACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-705-3002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.