Mountain Ridge Healthcare PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN RIDGE HEALTHCARE PLLC

Practice address

2135 W Main St Ste B105
Lehi, UT 84043-6936

Phone

(801) 663-1296

NPI assigned

Nov 11, 2022

Last updated

Nov 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad Lloyd Roberts, MDNPI 1952964330

Title

Physician / Business Owner

Phone

(801) 663-1296

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFIJCD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad L Roberts, MD

  • General Practice Physician
  • Lehi, UT
  • NPI 1952964330

  Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1710695473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S 600 E",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041724",
            "telephone_number": "801-663-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 W MAIN ST STE B105",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436936",
            "telephone_number": "801-663-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RIDGE HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PHYSICIAN / BUSINESS OWNER",
        "authorized_official_telephone_number": "801-663-1296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "help@mountainridgehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "electronic email communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2135 W Main St Ste B105",
            "city": "Lehi",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840436936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Mosley
• David Moss
• Megan Renee Moulton, PHARMD
• Mountain Medical Urgent Care
• Mountain Point Midwives LLC
• Mountain West Anesthesia LLC
• Mountainstar Medical Group Timpanogos Specialty Care, LLC
• Clint Mower
• Moyer Holdings LLC (Moyer Rx)
• Mackenzie Lynn Moyers, SLP-CCC

• Family Medicine Physician in Lehi, UT
• Providers in Lehi, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.