NPIMap

Organization Active NPI

Advanced Vein and Vascular of Southern Utah LLC

  • Interventional Cardiology Physician
  • Cedar City, UT
National Provider Identifier
1326679952
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
ADVANCED VEIN AND VASCULAR OF SOUTHERN UTAH LLC
Practice address
1251 Northfield Rd # 103
Cedar City, UT 84721-8622
Phone
(435) 383-5770
Fax
(435) 383-5772
NPI assigned
Feb 2, 2020
Last updated
May 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Mr. Dennis Munford
Title
Ceo
Phone
(801) 425-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X Primary

Addresses

Primary practice location

1251 Northfield Rd # 103
Cedar City, UT 84721-8622

Mailing address

273 N 2975 W
Layton, UT 84041-8835
Phone (801) 425-4200

Other practice location 1

1811 W Royal Hunte Dr Ste 1
Cedar City, UT 84720-8174
Phone (435) 383-5770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chip@gvsl.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1251 Northfield Rd
#103
Cedar City, UT 84721
Phone (435) 383-5770

Interoperability endpoints

  • Direct secure messaging: chip@gvsl.com

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1326679952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 N 2975 W",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840418835",
            "telephone_number": "801-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NORTHFIELD RD # 103",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218622",
            "telephone_number": "435-383-5770",
            "fax_number": "435-383-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 W Royal Hunte Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847208174",
            "country_code": "US",
            "telephone_number": "435-383-5770",
            "fax_number": "435-383-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED VEIN AND VASCULAR OF SOUTHERN UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-02",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "MUNFORD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-425-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chip@gvsl.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Taylorsville",
            "address_1": "1251 Northfield Rd # 103",
            "city": "Cedar City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847218622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.