Intermountain Orthopedic Care, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

INTERMOUNTAIN ORTHOPEDIC CARE, LLC

Practice address

471 E 1000 S Ste E
Pleasant Grove, UT 84062-3694

Phone

(855) 407-1227

Fax

(855) 228-4222

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2022By 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

Quinn Beardall

Title

Owner

Phone

(855) 407-1227

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1699798827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E 1000 S STE E",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623694",
            "telephone_number": "855-407-1227",
            "fax_number": "855-228-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E 1000 S STE E",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623694",
            "telephone_number": "855-407-1227",
            "fax_number": "855-228-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN ORTHOPEDIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "BEARDALL",
        "authorized_official_first_name": "QUINN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-407-1227"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Pleasant Grove, UT
• Providers in Pleasant Grove, 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 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.