Organization Active NPI

Utah Ortho Spine,LLC

  • Medical Specialty Clinic/Center
  • Murray, UT
National Provider Identifier
1952134405
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
UTAH ORTHO SPINE,LLC
Practice address
84 W 4800 S Ste 101
Murray, UT 84107-3781
Phone
(801) 875-1120
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Dr. Ross Sherban, DO
Title
President
Phone
(801) 875-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

84 W 4800 S Ste 101
Murray, UT 84107-3781

Mailing address

84 W 4800 S Ste 101
Murray, UT 84107-3781
Phone (801) 875-1120

National Provider Directory

National Provider Directory

Locations

84 W 4800 S
Ste 101
Salt Lake City, UT 84107
Phone (801) 224-8800

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1952134405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 W 4800 S STE 101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073781",
            "telephone_number": "801-875-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 W 4800 S STE 101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073781",
            "telephone_number": "801-875-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH ORTHO SPINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "SHERBAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-875-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.