Organization Active NPI

Dr. Darrell L Osterhoudt & Associates PC

  • Durable Medical Equipment & Medical Supplies
  • West Jordan, UT
National Provider Identifier
1881744951
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DR. DARRELL L OSTERHOUDT & ASSOCIATES PC
Practice address
9217 Redwood Rd Ste C
West Jordan, UT 84088-5827
Phone
(801) 568-0172
Fax
(801) 568-3932
NPI assigned
Jan 11, 2007
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Brenda Shelton
Title
Office Manager
Phone
(801) 568-0172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9217 Redwood Rd Ste C
West Jordan, UT 84088-5827

Mailing address

9217 Redwood Rd Ste C
West Jordan, UT 84088-5827
Phone (801) 568-0172

National Provider Directory

National Provider Directory

Locations

9217 S Redwood Rd
Ste C
West Jordan, UT 84088
Phone (801) 568-0172

Practitioners & affiliated clinicians

Practitioners 1

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1881744951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 REDWOOD RD STE C",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885827",
            "telephone_number": "801-568-0172",
            "fax_number": "801-568-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 REDWOOD RD STE C",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885827",
            "telephone_number": "801-568-0172",
            "fax_number": "801-568-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DARRELL L OSTERHOUDT & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-568-0172"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Oct 18, 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.

Verify at the official NPI Registry.