Northern Rockies Holdings

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

10390897-1714 Issued in UT

Legal business name

NORTHERN ROCKIES HOLDINGS

Practice address

6216 S Redwood Rd
SLC, UT 84123-6630

Phone

(801) 974-5555

NPI assigned

Jul 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gary Lee, D.C.

Title

Managing Member

Phone

(801) 897-9200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649791062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 S REDWOOD RD",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841236630",
            "telephone_number": "801-974-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 S REDWOOD RD",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841236630",
            "telephone_number": "801-974-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ROCKIES HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-897-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "UT",
            "license": "10390897-1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Ann Nielsen
• Eric Mathew Nielson, OTRL
• Jordan Nishimoto
• Jason Richard Norby, AUD
• Lisa M Norris, ARPN
• Melvin F. Nosanchuk, PH.D.
• Ingrid Elisabet Nygaard, MD
• Cailin Marie O Halloran
• Molly A O'Gorman, MD
• Stephanie Obrien, PC

• Customized Equipment (DME) in SLC, UT
• Providers in SLC, UT by specialty
• Customized Equipment (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.