Medvantage, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10000250003 Issued in UT

Legal business name

MEDVANTAGE, LLC

Practice address

2134 S Richards St
South Salt Lake, UT 84115-2606

Phone

(888) 412-8087

Fax

(888) 522-0355

NPI assigned

Oct 6, 2014

Last updated

Oct 1, 2025By 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

Darin William Johncock

Title

President

Phone

(801) 430-0149

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1801299714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 S RICHARDS ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152606",
            "telephone_number": "888-412-8087",
            "fax_number": "888-522-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 S RICHARDS ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152606",
            "telephone_number": "888-412-8087",
            "fax_number": "888-522-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "JOHNCOCK",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-430-0149"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "10000250003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deann Christine Mason, LCMHC
• August McCann
• Tyler McDonald
• Allison McLaughlin
• Hayley Marie McLaughlin
• Tanya Meegan
• Sydnie Laine Meiling
• Nisha Hycie Mendes, MS CCC-SLP
• Heather Lynne Mendiola, CSW
• Molly Randall Metcalf, CCC-SLP

• Durable Medical Equipment & Medical Supplies in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.