NPIMap

Organization Active NPI

Neurosync

  • Specialist
  • Murray, UT
National Provider Identifier
1710282249
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LN-2010-0114 Issued in UT
Legal business name
NEUROSYNC
Practice address
5801 Fashion Blvd
Ste 120
Murray, UT 84107-6159
Phone
(801) 699-4655
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
L. Scott Watson
Title
Owner
Phone
(801) 699-4655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X LN-2010-0114 UT Primary

Addresses

Primary practice location

5801 Fashion Blvd
Ste 120
Murray, UT 84107-6159

Mailing address

555 E 4500 S
Ste C150
Salt Lake City, UT 84107-4533
Phone (801) 288-0747

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1710282249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E 4500 S",
            "address_2": "STE C150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074533",
            "telephone_number": "801-288-0747",
            "fax_number": "801-288-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 FASHION BLVD",
            "address_2": "STE 120",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076159",
            "telephone_number": "801-699-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSYNC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-699-4655"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "LN-2010-0114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.