Organization Active NPI

Utah Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Riverton, UT
National Provider Identifier
1780053819
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
14085955-004-STC Issued in UT
Legal business name
UTAH MEDICAL SUPPLIES
Practice address
11818 S Reeves LN
Riverton, UT 84065-4119
Phone
(801) 208-9444
NPI assigned
Sep 18, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Preston Kevin Judd
Title
President
Phone
(801) 208-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 14085955-004-STC UT Primary

Addresses

Primary practice location

11818 S Reeves LN
Riverton, UT 84065-4119

Mailing address

11818 S Reeves LN
Riverton, UT 84065-4119
Phone (801) 208-9444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1780053819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 S REEVES LN",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840654119",
            "telephone_number": "801-208-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 S REEVES LN",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840654119",
            "telephone_number": "801-208-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-208-9444"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "14085955-004-STC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.