Anodyne of Alpine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ANODYNE OF ALPINE LLC

Practice address

11020 N 5500 W Ste 150
Highland, UT 84003-9645

Phone

(801) 829-7772

Fax

(801) 876-5767

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greg Simons

Title

Ceo

Phone

(801) 829-7772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1689334419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 N 5500 W STE 150",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039645",
            "telephone_number": "801-829-7772",
            "fax_number": "801-876-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 N 5500 W STE 150",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039645",
            "telephone_number": "801-829-7772",
            "fax_number": "801-876-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANODYNE OF ALPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-829-7772"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Highland, UT
• Providers in Highland, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.