NPIMap

Organization Active NPI

Blendtec Health Center

  • Family Medicine Physician
  • Orem, UT
National Provider Identifier
1972024586
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10332017-1725 Issued in UT
Legal business name
BLENDTEC HEALTH CENTER
Practice address
1206 S 1680 W
Orem, UT 84058-4938
Phone
(801) 225-1281
Fax
(801) 225-1282
NPI assigned
Jul 5, 2017
Organization subpart
Yes
Parent organization
ONSITE CARE CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Darce Latsis
Title
Operations Manager
Phone
(801) 225-1281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10332017-1725 UT Primary

Addresses

Primary practice location

1206 S 1680 W
Orem, UT 84058-4938

Mailing address

560 S 300 E Ste 275
Salt Lake City, UT 84111-3586
Phone (801) 441-1002

Other names 1

  • Blendtec Health and Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Onsite Care Inc25 organizations share this tax ID, including this one
Part of
Onsite Care Inc

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

1206 S 1680 W
Orem, UT 84058
Phone (801) 225-1281

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972024586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S 300 E STE 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113586",
            "telephone_number": "801-441-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 S 1680 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840584938",
            "telephone_number": "801-225-1281",
            "fax_number": "801-225-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLENDTEC HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONSITE CARE CLINICS",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "LATSIS",
        "authorized_official_first_name": "DARCE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "801-225-1281"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10332017-1725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blendtec Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.