Organization Active NPI

Mountain Sun Medical, PLLC

  • Community Health Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1073493359
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
MOUNTAIN SUN MEDICAL, PLLC
Practice address
1240 E Stringham Ave Ste 1034
Salt Lake City, UT 84106-2560
Phone
(801) 796-2641
Fax
(205) 891-1270
NPI assigned
Sep 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. Adam Binneboese, MDNPI 1508253717
Title
Tenured Physician
Phone
(801) 796-2641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1240 E Stringham Ave Ste 1034
Salt Lake City, UT 84106-2560

Mailing address

1240B E Stringham Ave Ste 1034
Salt Lake City, UT 84106-2490
Phone (801) 796-2641

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1073493359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240B E STRINGHAM AVE STE 1034",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062490",
            "telephone_number": "801-796-2641",
            "fax_number": "205-891-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E STRINGHAM AVE STE 1034",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062560",
            "telephone_number": "801-796-2641",
            "fax_number": "205-891-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SUN MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "BINNEBOESE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "TENURED PHYSICIAN",
        "authorized_official_telephone_number": "801-796-2641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "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 Sep 5, 2025; 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.