Utah Vein Specialists, Inc.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

1885981205 Issued in UT

Legal business name

UTAH VEIN SPECIALISTS, INC.

Practice address

7410 S Creek Rd Ste 104
Sandy, UT 84093-6151

Phone

(801) 501-8346

Fax

(801) 501-2627

NPI assigned

Nov 20, 2007

Last updated

May 14, 2019By 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

Dr. Peter E Jensen, MDNPI 1033215686

Title

President

Phone

(801) 501-8306

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter E Jensen, M.D.

  • Vascular Surgery Physician
  • Sandy, UT
  • NPI 1033215686
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1720269558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 S CREEK RD STE 104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936151",
            "telephone_number": "801-501-8346",
            "fax_number": "801-501-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 S CREEK RD STE 104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936151",
            "telephone_number": "801-501-8346",
            "fax_number": "801-501-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH VEIN SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-501-8306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "UT",
            "license": "1885981205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Utnv Willow Creek, LLC
• Halani J Utuone
• Stacey Valdez, RN
• Christopher B Valentine, M.D.

• Phlebology Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Phlebology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.

Verify at the official NPI Registry.