NPIMap

Organization Active NPI

Tranquil Living Center Group Corp

  • Gastroenterology Physician
  • N Salt Lake, UT
National Provider Identifier
1881928794
Registry record updated Sep 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
161210-1205 Issued in UT
Legal business name
TRANQUIL LIVING CENTER GROUP CORP
Practice address
189 N Highway 89
Ste C-10
N Salt Lake, UT 84054-2432
Phone
(801) 300-5173
NPI assigned
Sep 24, 2009
Last updated
Sep 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2009

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

Authorized official

Name
Isaac R Thomason
Title
Ceo
Phone
(801) 300-5173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 161210-1205 UT Primary

Addresses

Primary practice location

189 N Highway 89
Ste C-10
N Salt Lake, UT 84054-2432

Mailing address

189 N Highway 89
Ste C-10
N Salt Lake, UT 84054-2432

National Provider Directory

National Provider Directory

Locations

189 N Highway 89
Ste C10
North Salt Lake, UT 84054
Phone (801) 300-5173

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254009600000",
    "number": "1881928794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 N HIGHWAY 89",
            "address_2": "STE C-10",
            "city": "N SALT LAKE",
            "state": "UT",
            "postal_code": "840542432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 N HIGHWAY 89",
            "address_2": "STE C-10",
            "city": "N SALT LAKE",
            "state": "UT",
            "postal_code": "840542432",
            "telephone_number": "801-300-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL LIVING CENTER GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-27",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-300-5173"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "161210-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2009; 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.