Active NPI
Maple Mountain Birth Center
- Birthing Clinic/Center
- Spanish Fork, UT
National Provider Identifier
1336823970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- MAPLE MOUNTAIN BIRTH CENTER
- Practice address
- 144 W 1900 N Ste 100
Spanish Fork, UT 84660-9524 - Phone
- (801) 836-4559
- Fax
- (801) 206-3977
- NPI assigned
- Jun 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melody Pendleton Dicken, CPM, LM
- Title
- Head Midwife
- Phone
- (801) 836-4559
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | Primary |
Addresses
Primary practice location
144 W 1900 N Ste 100
Spanish Fork, UT 84660-9524
Mailing address
990 E 400 N
Mapleton, UT 84664-3671
Phone (801) 836-4559
Other names 1
- Maple Mountain Midwives
National Provider Directory
National Provider DirectoryLocations
144 W 1900 N
Ste 100
Spanish Fork, UT 84660
Phone (801) 836-4559
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Mapleton, UT
- NPI 1770862773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1336823970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 E 400 N",
"city": "MAPLETON",
"state": "UT",
"postal_code": "846643671",
"telephone_number": "801-836-4559",
"fax_number": "801-206-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 W 1900 N STE 100",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846609524",
"telephone_number": "801-836-4559",
"fax_number": "801-206-3977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLE MOUNTAIN BIRTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A",
"authorized_official_last_name": "DICKEN",
"authorized_official_first_name": "MELODY",
"authorized_official_middle_name": "PENDLETON",
"authorized_official_title_or_position": "HEAD MIDWIFE",
"authorized_official_telephone_number": "801-836-4559",
"authorized_official_credential": "CPM, LM"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maple Mountain Midwives",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spanish Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.