Organization Active NPI

Mount Ogden Wellness P.L.L.C.

  • Clinic/Center
  • Ogden, UT
National Provider Identifier
1679745236
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOUNT OGDEN WELLNESS P.L.L.C.
Practice address
1150 S Depot Dr
Ogden, UT 84404-1374
Phone
(801) 621-6155
Fax
(801) 621-6158
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Kevin McDougal, D.C.
Title
Owner
Phone
(801) 621-6155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1150 S Depot Dr
Ogden, UT 84404-1374

Mailing address

1150 S Depot Dr
Ogden, UT 84404-1374

National Provider Directory

National Provider Directory

Locations

1150 S Depot Dr
Ste 200
Ogden, UT 84404
Phone (801) 621-6155

1150 S Depot Dr
Ogden, UT 84404
Phone (801) 621-6155

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1679745236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S DEPOT DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844041374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S DEPOT DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844041374",
            "telephone_number": "801-621-6155",
            "fax_number": "801-621-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT OGDEN WELLNESS P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-621-6155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.