NPIMap

Organization Active NPI

Grant L Christian MD a Professional Corporation

  • Cardiovascular Disease Physician
  • Bountiful, UT
National Provider Identifier
1942486915
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1497971205 Issued in UT
Legal business name
GRANT L CHRISTIAN MD A PROFESSIONAL CORPORATION
Practice address
425 Medical Dr Ste 118
Bountiful, UT 84010-8914
Phone
(801) 292-1422
Fax
(801) 296-0436
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Dr. Grant L Christian, MD
Title
Owner
Phone
(801) 292-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 1497971205 UT Primary

Addresses

Primary practice location

425 Medical Dr Ste 118
Bountiful, UT 84010-8914

Mailing address

425 Medical Dr Ste 118
Bountiful, UT 84010-8914
Phone (801) 292-1422

Other identifiers 3

IdentifierTypeStateIssuer
107005467101OtherUTIHC
528443301003MedicaidUT
OMXAF02632OtherUTALTIUS

National Provider Directory

National Provider Directory

Locations

425 Medical Dr
#118
Bountiful, UT 84010
Phone (801) 292-1422

425 Medical Dr
Ste 118
Bountiful, UT 84010
Phone (801) 292-1422

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": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1942486915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR STE 118",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108914",
            "telephone_number": "801-292-1422",
            "fax_number": "801-296-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR STE 118",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108914",
            "telephone_number": "801-292-1422",
            "fax_number": "801-296-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT L CHRISTIAN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-292-1422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "1497971205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107005467101",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528443301003",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "OMXAF02632",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.