Organization Active NPI

Vertex Primary Care LLC

  • Primary Care Clinic/Center
  • Draper, UT
National Provider Identifier
1699377358
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VERTEX PRIMARY CARE LLC
Practice address
11760 S 700 E Ste 112
Draper, UT 84020-6605
Phone
(385) 200-1097
Fax
(385) 351-9453
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Kindra Woodruff
Title
Office Manager
Phone
(801) 210-0659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11760 S 700 E Ste 112
Draper, UT 84020-6605

Mailing address

PO Box 1810
Spanish Fork, UT 84660-7810
Phone (385) 200-1097

Other names 1

  • Vasectomy Pro Doing business as

National Provider Directory

National Provider Directory

Locations

7356 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 575-1007

1259 Lake Plaza Dr
Ste 240
Colorado Springs, CO 80906
Phone (719) 358-5170

9801 Anderson Mill Rd
Ste 120
Austin, TX 78750

8877 Harry Hines Blvd
Ste 100
Dallas, TX 75235
Phone (214) 393-2940

7929 Brookriver Dr
Ste 510
Dallas, TX 75247

3615 Camp Bowie Blvd
Fort Worth, TX 76107
Phone (817) 377-3773

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1699377358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846607810",
            "telephone_number": "385-200-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 S 700 E STE 112",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206605",
            "telephone_number": "385-200-1097",
            "fax_number": "385-351-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTEX PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "KINDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-210-0659"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vasectomy Pro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.