Organization Active NPI

Christopher B Valentine PLLC

  • Clinic/Center
  • West Valley City, UT
National Provider Identifier
1932380490
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
54306271205 Issued in UT
Legal business name
CHRISTOPHER B VALENTINE PLLC
Practice address
4052 Pioneer Pkwy Ste 109
West Valley City, UT 84120-2063
Phone
(801) 840-2200
Fax
(801) 840-2208
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Christopher B Valentine, M.D.NPI 1598753501
Title
President
Phone
(801) 840-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 54306271205 UT Primary

Addresses

Primary practice location

4052 Pioneer Pkwy Ste 109
West Valley City, UT 84120-2063

Mailing address

4052 Pioneer Pkwy Ste 109
West Valley City, UT 84120-2063
Phone (801) 840-2200

Other identifiers 1

IdentifierTypeStateIssuer
241026733001MedicaidUT

National Provider Directory

National Provider Directory

Locations

4052 W Pioneer Pkwy
Ste 109
West Valley City, UT 84120
Phone (801) 840-2200

Practitioners & affiliated clinicians

Practitioners 2

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": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1932380490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 PIONEER PKWY STE 109",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202063",
            "telephone_number": "801-840-2200",
            "fax_number": "801-840-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 PIONEER PKWY STE 109",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202063",
            "telephone_number": "801-840-2200",
            "fax_number": "801-840-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER B VALENTINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-840-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "54306271205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241026733001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.