Organization Active NPI

Myndfull Care Utah PC

  • Internal Medicine Physician
  • Farmington, UT
National Provider Identifier
1821862947
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jan 5, 2024

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.