NPIMap

Organization Active NPI

Step Mountain Medical

  • Primary Care Clinic/Center
  • Riverton, UT
National Provider Identifier
1194134775
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2114514405 Issued in UT
Legal business name
STEP MOUNTAIN MEDICAL
Practice address
2332 W 12600 S Ste 2C
Riverton, UT 84065-7173
Phone
(801) 446-2760
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Prof. Kirt Webb Larson, MSN, FNP-CNPI 1053576504
Title
Owner
Phone
(801) 446-2460

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
Primary Care Clinic/Center 261QP2300X 2114514405 UT Primary

Addresses

Primary practice location

2332 W 12600 S Ste 2C
Riverton, UT 84065-7173

Mailing address

2332 South 12600 South Suite 2C
Riverton, UT 84065-7173
Phone (801) 446-2760

Other names 1

  • Step Mountain Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Step Mountain Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1194134775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 SOUTH 12600 SOUTH SUITE 2C",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657173",
            "telephone_number": "801-446-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 W 12600 S STE 2C",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657173",
            "telephone_number": "801-446-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP MOUNTAIN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "KIRT",
        "authorized_official_middle_name": "WEBB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-446-2460",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "2114514405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step Mountain Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.