Prohealth Braces

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROHEALTH BRACES

Practice address

1172 S Highway 118 Ste 101
Richfield, UT 84701-3116

Phone

(435) 287-4444

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Juan Perez

Title

Ceo

Phone

(954) 496-3107

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1841741584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 S HIGHWAY 118 STE 101",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847013116",
            "telephone_number": "435-287-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 S HIGHWAY 118 STE 101",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847013116",
            "telephone_number": "435-287-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-496-3107"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Douglas Peterson, LPC
• Avery Pettit
• Holly Pipes, SSW, MSW STUDENT
• David M Pope, MD
• Positive Presence Training Solutions, LLC.
• Beatriz G. Quitco
• R6 Regional Council
• Trista Ramsey
• Dixie S. Rasmussen, CNM
• Remed, Inc.

• Durable Medical Equipment & Medical Supplies in Richfield, UT
• Providers in Richfield, 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 18, 2016; 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.