Active NPI
Myndfull Care Utah PC
- Internal Medicine Physician
- Farmington, UT
National Provider Identifier
1821862947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MYNDFULL CARE UTAH PC
- Practice address
- 240 N East Promontory Ste C-200
Farmington, UT 84025-2950 - Phone
- (855) 839-8878
- NPI assigned
- Nov 9, 2023
- 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
- Teja Singh
- Title
- Owner/Ceo
- Phone
- (855) 839-8878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
240 N East Promontory Ste C-200
Farmington, UT 84025-2950
Mailing address
9436 W Lake Mead Blvd
Suite 5 PMB 1113
Las Vegas, NV 89134
National Provider Directory
National Provider DirectoryLocations
240 N East Promontory
#C200
Farmington, UT 84025
240 N East Promontory
Ste C200
Farmington, UT 84025
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Encinitas, CA
- NPI 1720460934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704412800000",
"number": "1821862947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9436 W LAKE MEAD BLVD",
"address_2": "SUITE 5 PMB 1113",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N EAST PROMONTORY STE C-200",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252950",
"telephone_number": "855-839-8878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYNDFULL CARE UTAH PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-09",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "TEJA",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "855-839-8878"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.