Active NPI
Life Spring Pain Management, LLC
- Health Service Clinic/Center
- Kaysville, UT
National Provider Identifier
1699115188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 5867369-1205
- Legal business name
- LIFE SPRING PAIN MANAGEMENT, LLC
- Practice address
- 275 W 200 N
Ste 7
Kaysville, UT 84037-1861 - Phone
- (801) 546-1300
- NPI assigned
- Jun 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christian C Obah, MD
- Title
- Owner
- Phone
- (801) 786-9030
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 5867369-1205 | UT | Primary |
| Health Service Clinic/Center | 261QH0100X | 5867389-1205 | UT |
Addresses
Primary practice location
275 W 200 N
Ste 7
Kaysville, UT 84037-1861
Mailing address
275 W 200 N
Ste 7
Kaysville, UT 84037-1861
Phone (801) 546-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
275 W 200 N
Kaysville, UT 84037
275 W 200 N
Ste 7
Kaysville, UT 84037
Phone (801) 546-1300
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Kaysville, UT
- NPI 1073501086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378166400000",
"number": "1699115188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W 200 N",
"address_2": "STE 7",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371861",
"telephone_number": "801-546-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W 200 N",
"address_2": "STE 7",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371861",
"telephone_number": "801-546-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE SPRING PAIN MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-27",
"last_updated": "2013-09-03",
"status": "A",
"authorized_official_last_name": "OBAH",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-786-9030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "UT",
"license": "5867369-1205",
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "UT",
"license": "5867389-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.