ANODYNE OF PARK CITY LLC
NPI 1043970866
General Practice in Park City, UT

Active since December 20, 2021
1790 SUN PEAK DR STE A102, PARK CITY, UT 84098(435) 640-1353(435) 655-2984 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anodyne Of Park City Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANODYNE OF PARK CITY LLC (NPI 1043970866) is a healthcare organization registered as a general practice in Park City, Utah and active in the NPI registry since December 2021. The organization lists Greg Simons, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043970866
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameANODYNE OF PARK CITY LLC
Location Address1790 SUN PEAK DR STE A102Park City, UT 84098-6651
Mailing Address1790 Sun Peak Dr Ste A102Park City, UT 84098-6651 · (435) 640-1353 · Fax (435) 655-2984
Fax(435) 655-2984
Organization SubpartNo
Authorized OfficialGreg SimonsCeo · (435) 640-1353
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
NPI 1043970866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1790 SUN PEAK DR STE A102, Park City, UT 84098

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1790 SUN PEAK DR STE A102
PARK CITY, UT 84098
Acupuncturist
1790 SUN PEAK DR STE A102
PARK CITY, UT 84098

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anodyne Of Park City LLC's NPI number?

The NPI number for Anodyne Of Park City LLC is 1043970866. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Anodyne Of Park City LLC located?

Anodyne Of Park City LLC is located at 1790 Sun Peak Dr Ste A102, Park City, UT 84098. The listed phone number is (435) 640-1353.

What is Anodyne Of Park City LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Anodyne Of Park City LLC was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.