Alta Ridge South Jordan

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

APPLIED FOR Issued in UT

Legal business name

ALTA RIDGE SOUTH JORDAN

Practice address

1928 West Shields Lane
South Jordan, UT 84095

Phone

(801) 676-8787

Fax

(801) 748-2269

NPI assigned

Dec 24, 2008

Last updated

Dec 24, 2008By 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

Ashley Hoffmann

Title

Controller

Phone

(801) 748-2268

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1730325663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E 9400 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840932903",
            "telephone_number": "801-748-2268",
            "fax_number": "801-748-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 WEST SHIELDS LANE",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "801-676-8787",
            "fax_number": "801-748-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA RIDGE SOUTH JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "HOFFMANN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "801-748-2268"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "APPLIED FOR",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "UT",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Beth Allen, DNP
• Kyra-Beth Allred
• Taylor Noell Allred
• Aaron Allsop-Hofmeister, M.S
• Anthony T. Alonzo, MS, LMFT, CFLE
• David Lynn Alvord, D.D.S.
• America's Best Contasts & Eyeglasses
• J Brinton Andersen, DC
• Douglas M Anderson, D.D.S., M.S.
• Juliana Anderson, MS, CCC-SLP

• Alzheimer Center (Dementia Center) in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Alzheimer Center (Dementia Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; 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.