Stat-MD II

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

STAT-MD II

Practice address

7724 S 5600 W Ste 102
West Jordan, UT 84081-5415

Phone

(801) 432-8480

Fax

(435) 604-0160

NPI assigned

Oct 1, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan Knepper

Title

Owner

Phone

(435) 604-0160

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1881235992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 S 5600 W STE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815415",
            "telephone_number": "801-432-8480",
            "fax_number": "435-604-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7724 S 5600 W STE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815415",
            "telephone_number": "801-432-8480",
            "fax_number": "435-604-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT-MD II",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "KNEPPER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-604-0160"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.statmdurgentcare.com",
            "affiliation": "N",
            "endpointDescription": "company url",
            "address_1": "7724 S 5600 W Ste 102",
            "city": "West Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840815415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Clinic/Center in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Primary Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.