Active NPI
Christopher James Fidler I, M.S. CCC-SLP
- Speech-Language Pathologist
- Orem, UT
National Provider Identifier
1740411586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7049370-4102
- Practice address
- 485 W 1400 N
Orem, UT 84057-7000 - Phone
- (801) 426-4905
- Fax
- (801) 426-4953
- NPI assigned
- Jul 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7049370-4102 | UT | Primary |
Addresses
Primary practice location
485 W 1400 N
Orem, UT 84057-7000
Mailing address
7437 Union Mill CT
Midvale, UT 84047-2297
Phone (801) 633-3104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Rehab | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1740411586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7437 UNION MILL CT",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840472297",
"telephone_number": "801-633-3104",
"fax_number": "801-280-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 W 1400 N",
"city": "OREM",
"state": "UT",
"postal_code": "840577000",
"telephone_number": "801-426-4905",
"fax_number": "801-426-4953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIDLER",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "7049370-4102",
"primary": true
}
],
"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 Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.