NPIMap

Organization Active NPI

Travis M Hendry MD PC

  • Orthopaedic Surgery Physician
  • Bountiful, UT
National Provider Identifier
1649866294
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TRAVIS M HENDRY MD PC
Practice address
1551 Renaissance Towne Dr Ste 400
Bountiful, UT 84010-7676
Phone
(801) 295-7200
Fax
(801) 295-4930
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Annette Simmons
Title
Administrator
Phone
(801) 295-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1551 Renaissance Towne Dr Ste 400
Bountiful, UT 84010-7676

Mailing address

1551 Renaissance Towne Dr Ste 400
Bountiful, UT 84010-7676
Phone (801) 295-7200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1649866294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 400",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107676",
            "telephone_number": "801-295-7200",
            "fax_number": "801-295-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 400",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107676",
            "telephone_number": "801-295-7200",
            "fax_number": "801-295-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS M HENDRY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-295-7200"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.