Organization Active NPI

Clayton Bass MD Facep PC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Ogden, UT
National Provider Identifier
1033418009
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
6068769-1205 Issued in UT
Legal business name
CLAYTON BASS MD FACEP PC
Practice address
434 E 5350 S
Ogden, UT 84405-6931
Phone
(801) 475-7100
Fax
(801) 475-7101
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Lindsi Jenkins
Title
Billing Manager
Phone
(801) 475-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X 6068769-1205 UT Primary

Addresses

Primary practice location

434 E 5350 S
Ogden, UT 84405-6931

Mailing address

434 E 5350 S
Suite B
Ogden, UT 84405-6931
Phone (801) 475-7100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1033418009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 E 5350 S",
            "address_2": "SUITE B",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056931",
            "telephone_number": "801-475-7100",
            "fax_number": "801-475-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E 5350 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056931",
            "telephone_number": "801-475-7100",
            "fax_number": "801-475-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON BASS MD FACEP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LINDSI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "801-475-7100"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "UT",
            "license": "6068769-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.