NPIMap

Organization Active NPI

Sacred Circle Health Care

  • Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1649523572
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
201203834 Issued in UT
Legal business name
SACRED CIRCLE HEALTH CARE
Practice address
660 S 200 E
#250
Salt Lake City, UT 84111-3835
Phone
(801) 359-2256
Fax
(801) 364-4392
NPI assigned
Oct 16, 2012
Organization subpart
Yes
Parent organization
CONFEDERATED TRIBE OF THE GOSHUTESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Dr. Dave Jay Hadley, DMD
Title
Vice President
Phone
(801) 669-1607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 201203834 UT Primary

Addresses

Primary practice location

660 S 200 E
#250
Salt Lake City, UT 84111-3835

Mailing address

660 S 200 E
#250
Salt Lake City, UT 84111-3835
Phone (801) 359-2256

National Provider Directory

National Provider Directory
Part of
Confederated Tribes of the Goshute Indian Reservation

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1649523572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S 200 E",
            "address_2": "#250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113835",
            "telephone_number": "801-359-2256",
            "fax_number": "801-364-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 200 E",
            "address_2": "#250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113835",
            "telephone_number": "801-359-2256",
            "fax_number": "801-364-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED CIRCLE HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONFEDERATED TRIBE OF THE GOSHUTES",
        "enumeration_date": "2012-10-16",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "801-669-1607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "201203834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.