Organization Active NPI

Kimberly Davis Integrativehealth PLLC

  • Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1881020774
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KIMBERLY DAVIS INTEGRATIVEHEALTH PLLC
Practice address
1174 E Graystone Way Ste 15
Salt Lake City, UT 84106-2678
Phone
(801) 486-0875
Fax
(801) 606-7230
NPI assigned
Sep 24, 2013
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Dr. Kimberly Jo Davis, D.O.NPI 1487820320
Title
Doctor
Phone
(801) 486-0875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1174 E Graystone Way Ste 15
Salt Lake City, UT 84106-2678

Mailing address

1174 E Graystone Way Ste 15
Salt Lake City, UT 84106-2678
Phone (801) 486-0875

National Provider Directory

National Provider Directory

Locations

999 E Murray Holladay Rd
Ste 207
Millcreek, UT 84117
Phone (801) 268-2584

1174 E Graystone Way
Ste 15
Slc, UT 84106
Phone (801) 486-0875

Practitioners & affiliated clinicians

Practitioners 2

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": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1881020774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY STE 15",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062678",
            "telephone_number": "801-486-0875",
            "fax_number": "801-606-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY STE 15",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062678",
            "telephone_number": "801-486-0875",
            "fax_number": "801-606-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY DAVIS INTEGRATIVEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-486-0875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 28, 2024; 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.