NPIMap

Organization Active NPI

Stone Creek Family Practice

  • General Practice Physician
  • Payson, UT
National Provider Identifier
1215198031
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5810651-1205 Issued in UT
Legal business name
STONE CREEK FAMILY PRACTICE
Practice address
910 E 100 N
Ste 105
Payson, UT 84651-1635
Phone
(801) 465-1555
Fax
(801) 465-1333
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Stephen Bret Chipman, M.D.NPI 1992734057
Title
Doctor/Owner
Phone
(801) 465-1555

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 5810651-1205 UT Primary

Addresses

Primary practice location

910 E 100 N
Ste 105
Payson, UT 84651-1635

Mailing address

910 E 100 N
Ste 105
Payson, UT 84651-1635
Phone (801) 465-1555

Other identifiers 2

IdentifierTypeStateIssuer
528398932001MedicaidUT
000058003OtherMEDICAR GROUP

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1215198031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E 100 N",
            "address_2": "STE 105",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511635",
            "telephone_number": "801-465-1555",
            "fax_number": "801-465-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 100 N",
            "address_2": "STE 105",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511635",
            "telephone_number": "801-465-1555",
            "fax_number": "801-465-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CHIPMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BRET",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "801-465-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "UT",
            "license": "5810651-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528398932001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAR GROUP",
            "identifier": "000058003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.