NPIMap

Organization Active NPI

Aspen Falls Spinal Care Center South Jordan, LLC

Doing business as Aspen Falls Spinal Care Center

  • Clinic/Center
  • South Jordan, UT
National Provider Identifier
1841836855
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ASPEN FALLS SPINAL CARE CENTER SOUTH JORDAN, LLC
Doing business as
Aspen Falls Spinal Care Center
Practice address
912 W Baxter Dr
South Jordan, UT 84095-8703
Phone
(412) 576-1141
NPI assigned
Nov 25, 2019
Last updated
Apr 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Dr. Jeremy G Kaier, DCNPI 1598320988
Title
Directing Manager
Phone
(412) 576-1141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

912 W Baxter Dr
South Jordan, UT 84095-8703

Mailing address

912 W Baxter Dr Ste 130
South Jordan, UT 84095-5876
Phone (412) 576-1141

Other names 1

  • Aspen Falls Spinal Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200401001601 UT Part B Supplier - Clinic/Group Practice 0941639678 Receives reassigned benefits from 3 practitioners
Practice locations: South Jordan, UT

National Provider Directory

National Provider Directory

Locations

912 W Baxter Dr
South Jordan, UT 84095
Phone (412) 576-1141

912 W Baxter Dr
Ste 130
South Jordan, UT 84095
Phone (385) 308-4355

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1841836855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W BAXTER DR STE 130",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955876",
            "telephone_number": "412-576-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W BAXTER DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958703",
            "telephone_number": "412-576-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN FALLS SPINAL CARE CENTER SOUTH JORDAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "KAIER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTING MANAGER",
        "authorized_official_telephone_number": "412-576-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Falls Spinal Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.