NPIMap

Organization Active NPI

Kathleen K Boynton MD PC

  • Specialist
  • West Jordan, UT
National Provider Identifier
1649481151
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
178452-1205 Issued in UT
Legal business name
KATHLEEN K BOYNTON MD PC
Practice address
3584 W. 9000 S.
300
West Jordan, UT 84088
Phone
(801) 563-5121
Fax
(801) 565-3663
NPI assigned
May 25, 2007
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Kathleen Karn Boynton, MDNPI 1174666739
Title
Physician
Phone
(801) 563-5121

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
Specialist 174400000X 178452-1205 UT Primary

Addresses

Primary practice location

3584 W. 9000 S.
300
West Jordan, UT 84088

Mailing address

3584 W. 9000 S.
300
West Jordan, UT 84088
Phone (801) 563-5121

Other identifiers 1

IdentifierTypeStateIssuer
264251147092MedicaidUT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1649481151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W. 9000 S.",
            "address_2": "300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84088",
            "telephone_number": "801-563-5121",
            "fax_number": "801-565-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W. 9000 S.",
            "address_2": "300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84088",
            "telephone_number": "801-563-5121",
            "fax_number": "801-565-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN K BOYNTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "BOYNTON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "KARN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-563-5121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "178452-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264251147092",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.