Organization Active NPI

Mountain View Diabetes Care

  • Internal Medicine Physician
  • Midvale, UT
National Provider Identifier
1407269459
Registry record updated Jun 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7994652-1205 Issued in UT
Legal business name
MOUNTAIN VIEW DIABETES CARE
Practice address
189 E Fort Union Blvd Ste 103
Midvale, UT 84047-4800
Phone
(801) 822-3315
NPI assigned
Jun 7, 2014
Last updated
Jun 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2014

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

Authorized official

Name
Dr. Hayley Miller, M.D.
Title
Owner
Phone
(206) 459-0334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 7994652-1205 UT Primary

Addresses

Primary practice location

189 E Fort Union Blvd Ste 103
Midvale, UT 84047-4800

Mailing address

189 E Fort Union Blvd Ste 103
Midvale, UT 84047-4800
Phone (801) 822-3315

National Provider Directory

National Provider Directory

Locations

189 E Fort Union Blvd
Ste 103
Midvale, UT 84047
Phone (801) 822-3315

NPI Registry JSON

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

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402099200000",
    "number": "1407269459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 E FORT UNION BLVD STE 103",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474800",
            "telephone_number": "801-822-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E FORT UNION BLVD STE 103",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474800",
            "telephone_number": "801-822-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW DIABETES CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-07",
        "last_updated": "2014-06-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-459-0334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "7994652-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

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