Active NPI
Ridgeline Orthopedic Specialists LLC
- Orthopaedic Surgery Physician
- Orem, UT
National Provider Identifier
1710813282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- RIDGELINE ORTHOPEDIC SPECIALISTS LLC
- Practice address
- 700 W 800 N Ste 100
Orem, UT 84057-6301 - Phone
- (435) 986-9369
- NPI assigned
- Jun 22, 2026
- 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
- Aj Yergensen
- Title
- Admin
- Phone
- (435) 986-9369
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X |
Addresses
Primary practice location
700 W 800 N Ste 100
Orem, UT 84057-6301
Mailing address
700 W 800 N Ste 100
Orem, UT 84057-6301
Other practice location 1
1055 N 300 W Ste 104&106
Provo, UT 84604-3344
Phone (435) 986-9369
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1710813282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W 800 N STE 100",
"city": "OREM",
"state": "UT",
"postal_code": "840576301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W 800 N STE 100",
"city": "OREM",
"state": "UT",
"postal_code": "840576301",
"telephone_number": "435-986-9369"
}
],
"practiceLocations": [
{
"address_1": "1055 N 300 W Ste 104&106",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846043344",
"country_code": "US",
"telephone_number": "435-986-9369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RIDGELINE ORTHOPEDIC SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "YERGENSEN",
"authorized_official_first_name": "AJ",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "435-986-9369"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.