Active NPI
Mickeal Paul Joos
- Blind Rehabilitation Specialist/Technologist
- West Jordan, UT
National Provider Identifier
1881198570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blind Rehabilitation Specialist/Technologist
- Practice address
- 1388 W River Ridge Dr
West Jordan, UT 84088-6537 - Phone
- (801) 970-3948
- NPI assigned
- Mar 19, 2018
- 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 |
|---|---|---|---|---|
| Blind Rehabilitation Specialist/Technologist | 2255R0406X | Primary |
Addresses
Primary practice location
1388 W River Ridge Dr
West Jordan, UT 84088-6537
Mailing address
1388 W River Ridge Dr
West Jordan, UT 84088-6537
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": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1881198570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1388 W RIVER RIDGE DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840886537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1388 W RIVER RIDGE DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840886537",
"telephone_number": "801-970-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOOS",
"first_name": "MICKEAL",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255R0406X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Rehabilitation, Blind",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.