NPIMap

Organization Active NPI

Numed Clinic

  • Family Medicine Physician
  • Orem, UT
National Provider Identifier
1487375473
Registry record updated Nov 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NUMED CLINIC
Practice address
1429 S State St
Orem, UT 84097-7703
Phone
(801) 830-4305
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2022

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

Authorized official

Name
Enkhyoun Nergui, DNP
Title
Owner
Phone
(801) 830-4305

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1429 S State St
Orem, UT 84097-7703

Mailing address

1429 S State St
Orem, UT 84097-7703
Phone (801) 830-4305

National Provider Directory

National Provider Directory

Locations

1429 S State St
Orem, UT 84097
Phone (801) 691-1123

Practitioners & affiliated clinicians

Practitioners 2

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": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667692800000",
    "number": "1487375473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977703",
            "telephone_number": "801-830-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977703",
            "telephone_number": "801-830-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUMED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A",
        "authorized_official_last_name": "NERGUI",
        "authorized_official_first_name": "ENKHYOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-830-4305",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; 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.