Organization Active NPI

Mountain View Orthopedics and Sports Medicine LLC

  • Specialist
  • Ogden, UT
National Provider Identifier
1710192034
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5181983-1205 Issued in UT
Legal business name
MOUNTAIN VIEW ORTHOPEDICS AND SPORTS MEDICINE LLC
Practice address
1486 E Skyline Dr
Ste 202
Ogden, UT 84405-4863
Phone
(801) 475-5683
Fax
(801) 475-9499
NPI assigned
May 11, 2007
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
David B Glover
Title
Manager
Phone
(801) 475-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5181983-1205 UT Primary

Addresses

Primary practice location

1486 E Skyline Dr
Ste 202
Ogden, UT 84405-4863

Mailing address

1486 E Skyline Dr
Ste 202
Ogden, UT 84405-4863
Phone (801) 475-5683

National Provider Directory

National Provider Directory

Locations

2950 N Church St
Ste 101B
Layton, UT 84040
Phone (801) 475-3000

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1710192034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 E SKYLINE DR",
            "address_2": "STE 202",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054863",
            "telephone_number": "801-475-5683",
            "fax_number": "801-475-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 E SKYLINE DR",
            "address_2": "STE 202",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054863",
            "telephone_number": "801-475-5683",
            "fax_number": "801-475-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW ORTHOPEDICS AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-475-5683"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "5181983-1205",
            "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 Jul 17, 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.