Organization Active NPI

Advanced Mobile Physician LLC

  • Podiatric Clinic/Center
  • Sandy, UT
National Provider Identifier
1548933237
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
ADVANCED MOBILE PHYSICIAN LLC
Practice address
614 E 8600 S
Sandy, UT 84070-1104
Phone
(801) 824-4009
NPI assigned
Jul 28, 2021
Last updated
Jul 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Mr. Chad Hillier
Title
Manager
Phone
(801) 824-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

614 E 8600 S
Sandy, UT 84070-1104

Mailing address

614 E 8600 S
Sandy, UT 84070-1104
Phone (801) 824-4009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Office@amputah.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: office@amputah.com

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1548933237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E 8600 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701104",
            "telephone_number": "801-824-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E 8600 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701104",
            "telephone_number": "801-824-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOBILE PHYSICIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "HILLIER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-824-4009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Office@amputah.com",
            "affiliation": "N",
            "address_1": "614 E 8600 S",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840701104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.