Active NPI
Owen Alton Krause
- Behavior Technician
- Salt Lake City, UT
National Provider Identifier
1821680950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 515 S 700 E
2A
Salt Lake City, UT 84102 - Phone
- (732) 632-7898
- NPI assigned
- Feb 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
515 S 700 E
2A
Salt Lake City, UT 84102
Mailing address
2038 W 8970 S
West Jordan, UT 84088-9373
Phone (732) 632-7898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213008386 | Other | UT | DRIVERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1821680950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2038 W 8970 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889373",
"telephone_number": "732-632-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S 700 E",
"address_2": "2A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84102",
"telephone_number": "732-632-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "OWEN",
"middle_name": "ALTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-10",
"last_updated": "2022-07-21",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "213008386",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.