Active NPI
Advanced Mobile Physician LLC
- Podiatric Clinic/Center
- Sandy, UT
National Provider Identifier
1548933237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Office@amputah.com |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.