Bountiful Ridge Anesthesia, PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

BOUNTIFUL RIDGE ANESTHESIA, PLLC

Practice address

630 Medical Dr
Bountiful, UT 84010-4908

Phone

(801) 299-2200

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kyle B Turner, CRNA

Title

Sole MBR

Phone

(801) 698-8498

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David D Miller, CRNA

  • Specialist
  • West Valley City, UT
  • NPI 1205838745
  NPD (past)

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1801168794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 MILL SHADOW DR",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MEDICAL DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104908",
            "telephone_number": "801-299-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNTIFUL RIDGE ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "801-698-8498",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "5588901-4406",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bountiful Medical Investors, LLC (Life Care Center of Bountiful)
• Bountiful Oral Surgery, P.C.
• Bountiful PDC PLLC (Asay Dentistry)
• Bountiful Pediatrics and Neonatology Inc
• Bountiful Radiology Associates Inc
• Bountiful Ridge Dental, LLC
• Bountiful Surgery Center LLC
• Bountiful Surgical Associates
• Bountiful Vision Plaza PC
• Kelly Bowen, LCSW

• Certified Registered Nurse Anesthetist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.