Organization Active NPI

Maple Mountain Birth Center

  • Birthing Clinic/Center
  • Spanish Fork, UT
National Provider Identifier
1336823970
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
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

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Melody Pendleton Dicken, CPM, LMNPI 1770862773
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.