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ADDISON UDALL
NPI 1356037998
Student in an Organized Health Care Education/Training Program in South Jordan, UT

Active since April 17, 2023
10894 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095(801) 878-1200 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Addison Udall NPPES

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

ADDISON UDALL (NPI 1356037998) is an individual student in an organized health care education/training program in South Jordan, Utah and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1356037998
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADDISON UDALL
Location Address10894 S RIVER FRONT PKWYSouth Jordan, UT 84095-5609
Mailing Address1801 Wedemeyer St Unit 412San Francisco, CA 94129-5279 · (480) 772-5353
Phone(801) 878-1200
Sole ProprietorYes
Enumeration DateApril 17, 2023
NPPES CertifiedApril 16, 2023
✔ NPI 1356037998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10894 S RIVER FRONT PKWY, South Jordan, UT 84095
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Other Providers at the Same Location NPPES 15

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

BRIGHAM DOUGLAS JEWKES
Student in an Organized Health Care Education/Training Program
10894 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095
Salt Lake County (801) 878-1200
HEATHER TRINH
Student in an Organized Health Care Education/Training Program
10894 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095
Salt Lake County (801) 878-1200
SARAH BADAWI
Dentist (General Practice)
10894 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-2600
RUMIKA IMDAD DDS
Student in an Organized Health Care Education/Training Program
10894 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095
Salt Lake County (801) 878-1200
DR. WILLIAM BRENT CARROLL DDS
Dentist (General Practice)
10894 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095
Salt Lake County (801) 878-1410
KEYAN RAFIZADEH
Student in an Organized Health Care Education/Training Program
10894 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-2600
MRS. TIANNA GRACE BITZ VALERIUS
Student in an Organized Health Care Education/Training Program
10894 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095
Salt Lake County (801) 878-1200
TRANG LE DMD
Student in an Organized Health Care Education/Training Program
10894 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-2600

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 Addison Udall's NPI number?

The NPI number for Addison Udall is 1356037998. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Addison Udall located?

Addison Udall practices at 10894 S River Front Pkwy, South Jordan, UT 84095. The listed phone number is (801) 878-1200.

What is Addison Udall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Addison Udall was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.