NPIMap

Organization Active NPI

Millcreek Womens Center

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
National Provider Identifier
1992710602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3355524402 Issued in UT
Legal business name
MILLCREEK WOMENS CENTER
Practice address
1140 E 3900 S
Suite 410
Salt Lake City, UT 84124-1228
Phone
(801) 262-8666
Fax
(801) 263-8821
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deanna V Kinikini
Title
Administrative Assistant
Phone
(801) 262-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 3355524402 UT Primary

Addresses

Primary practice location

1140 E 3900 S
Suite 410
Salt Lake City, UT 84124-1228

Mailing address

1140 E 3900 S
Suite 410
Salt Lake City, UT 84124-1228
Phone (801) 262-8666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992710602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 E 3900 S",
            "address_2": "SUITE 410",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241228",
            "telephone_number": "801-262-8666",
            "fax_number": "801-262-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E 3900 S",
            "address_2": "SUITE 410",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241228",
            "telephone_number": "801-262-8666",
            "fax_number": "801-263-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREEK WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINIKINI",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "801-262-8666",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "3355524402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.