Active NPI
Mount Ogden Wellness P.L.L.C.
- Clinic/Center
- Ogden, UT
National Provider Identifier
1679745236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.