Organization Active NPI

Dr Spence D Harper PC

  • Foot & Ankle Surgery Podiatrist
  • Heber City, UT
National Provider Identifier
1538336441
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
314751-0501 Issued in UT
Legal business name
DR SPENCE D HARPER PC
Practice address
190 North Main Street
Heber City, UT 84032
Phone
(435) 657-0329
Fax
(801) 274-9064
NPI assigned
May 9, 2008
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Spence D. Harper, DPMNPI 1851394803
Title
Physician / Owner
Phone
(801) 274-9062

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1131960001 UT
Foot & Ankle Surgery Podiatrist 213ES0103X 314751-0501 UT Primary

Addresses

Primary practice location

190 North Main Street
Heber City, UT 84032

Mailing address

190 North Main Street
Heber City, UT 84032
Phone (435) 657-0329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080716000062 UT Part B Supplier - Clinic/Group Practice 0345311551 Receives reassigned benefits from 1 practitioner
Practice locations: Heber City, UT

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

190 N Main St
Ste 2
Heber City, UT 84032
Phone (435) 657-0329

4578 S Highland Dr
Ste 380
Salt Lake Cty, UT 84117
Phone (801) 274-9060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1538336441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NORTH MAIN STREET",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "84032",
            "telephone_number": "435-657-0329",
            "fax_number": "801-274-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NORTH MAIN STREET",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "84032",
            "telephone_number": "435-657-0329",
            "fax_number": "801-274-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SPENCE D HARPER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "SPENCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "801-274-9062",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "1131960001",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "314751-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.