Organization Active NPI

Utah Pain Relief North LLC

  • Ambulatory Surgical Clinic/Center
  • West Jordan, UT
National Provider Identifier
1770812034
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
09W56823 Issued in UT
Legal business name
UTAH PAIN RELIEF NORTH LLC
Doing business as
UTAH PAIN RELIEF INSTITUTE NORTH, LLC
Practice address
8822 S Redwood Rd
West Jordan, UT 84088-9336
Phone
(801) 466-7246
Fax
(801) 281-0444
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Mrs. Jennie N Nguyen
Title
Manager
Phone
(801) 448-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 09W56823 UT Primary

Addresses

Primary practice location

8822 S Redwood Rd
West Jordan, UT 84088-9336

Mailing address

8822 S Redwood Rd
West Jordan, UT 84088-9336
Phone (801) 466-7246

Other names 1

  • UTAH PAIN RELIEF INSTITUTE NORTH, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1770812034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8822 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889336",
            "telephone_number": "801-466-7246",
            "fax_number": "801-281-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8822 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889336",
            "telephone_number": "801-466-7246",
            "fax_number": "801-281-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PAIN RELIEF NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-448-4422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": "09W56823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTAH PAIN RELIEF INSTITUTE NORTH, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.