RENEWMD – NPI #1467520437
Clinic/Center

RENEWMD is an AHC clinic located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1467520437 to RENEWMD on November 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENEWMD” is a dba name, the actual legal business name for this organization is MD CENTER FOR FACIAL REJUVENATION. The primary taxonomy selected by this provider is 261QS0132X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ophthalmologic Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENEWMD below.

NPI Profile for
MD CENTER FOR FACIAL REJUVENATION

NPI Number
1467520437
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MD CENTER FOR FACIAL REJUVENATION
Doing Business As (dba): RENEWMD
Primary location
6440 WASATCH BLVD
SUITE 390
SALT LAKE CITY, UT 84121-3511
Phone: (801) 424-3223 Fax: (801) 424-3228
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUSTIN JOHNSEN
OWNER
Phone: (801) 424-3223
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0132X
- Clinic/Center / Ophthalmologic Surgery (Primary)
UT 6139294-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.