Mount Ogden Pain Medical Center

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

5306448-1205 Issued in UT

Legal business name

MOUNT OGDEN PAIN MEDICAL CENTER

Practice address

286 N Gateway Dr
Ste a
Providence, UT 84332-9733

Phone

(435) 755-9174

Fax

(435) 755-9148

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Cindie G Dodenbier, APRN

Title

President

Phone

(435) 755-9174

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1487863353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 S 900 W # 324",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844057155",
            "telephone_number": "435-753-1600",
            "fax_number": "435-753-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N GATEWAY DR",
            "address_2": "STE A",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329733",
            "telephone_number": "435-755-9174",
            "fax_number": "435-755-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT OGDEN PAIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "DODENBIER",
        "authorized_official_first_name": "CINDIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-755-9174",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "UT",
            "license": "5306448-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Stephen Morrell, PA-C
• Wesley S Mortensen, MD
• Celeste C Mortenson, DDS
• Moserti LLC (PeakRestore Wellness)
• Mount Logan Chiropractic Inc
• Mountainstar Medical Group- Cache Valley, LLC (MountainStar Cache Valley Medical Group)
• Murdock Family Wellness, Inc (Murdock Family Chiropractic)
• Brett Cameron Murdock, DC
• My Hearing Centers, LLC
• Brandon Nakken, DDS

• Pain Medicine Physician in Providence, UT
• Providers in Providence, UT by specialty
• Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.