Active NPI
Seraphine Birth Center and Family Clinics
- Primary Care Clinic/Center
- Taylorsville, UT
National Provider Identifier
1740307206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 52779300151
- Legal business name
- SERAPHINE BIRTH CENTER AND FAMILY CLINICS
- Practice address
- 6216 S Redwood Rd
Taylorsville, UT 84123-6630 - Phone
- (801) 963-6966
- Fax
- (801) 963-6366
- NPI assigned
- Mar 22, 2007
- 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
- Robert Wendell Gneiting, APRN
- Title
- Managing Member
- Phone
- (801) 936-6966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 52779300151 | UT | Primary |
Addresses
Primary practice location
6216 S Redwood Rd
Taylorsville, UT 84123-6630
Mailing address
PO Box 71218
Salt Lake City, UT 84171-0218
Phone (801) 963-6966
Other names 1
- Seraphine Clinic LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740307206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71218",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841710218",
"telephone_number": "801-963-6966",
"fax_number": "801-963-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6216 S REDWOOD RD",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841236630",
"telephone_number": "801-963-6966",
"fax_number": "801-963-6366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERAPHINE BIRTH CENTER AND FAMILY CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GNEITING",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "WENDELL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "801-936-6966",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "UT",
"license": "52779300151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Seraphine Clinic LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.