Vista Spine Management Group LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

VISTA SPINE MANAGEMENT GROUP LLC

Doing business as

Summit Brain Spine & Orthopedics

Practice address

3000 N Triumph Blvd Ste 110
Lehi, UT 84043-7186

Phone

(801) 756-7800

Fax

(801) 756-7805

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By 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

Eric C Lee, DCNPI 1932329232

Title

Owner

Phone

(801) 756-7800

Specialties & licenses 1

Addresses

Other names 1

• Summit Brain Spine & Orthopedics Doing business as

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.

• Eric C Lee, D.C.

  • Rehabilitation Chiropractor
  • Lehi, UT
  • NPI 1932329232
  Authorized official Same address or phone

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1730905076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 W TRAVERSE PKWY STE E534",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435986",
            "telephone_number": "801-756-7800",
            "fax_number": "801-756-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 110",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437186",
            "telephone_number": "801-756-7800",
            "fax_number": "801-756-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA SPINE MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-756-7800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Brain Spine & Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Chiropractor in Lehi, UT
• Providers in Lehi, UT by specialty
• Rehabilitation Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.