NPIMap

Organization Active NPI

Mountain Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Bountiful, UT
National Provider Identifier
1952019846
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MOUNTAIN ORTHOPAEDICS LLC
Practice address
1551 Renaissance Towne Dr Ste 500
Bountiful, UT 84010-7678
Phone
(801) 295-7200
NPI assigned
Nov 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Clint Wooten, MDNPI 1730317652
Title
Owner/ Physician
Phone
(801) 295-7200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1551 Renaissance Towne Dr Ste 500
Bountiful, UT 84010-7678

Mailing address

PO Box 33539
Belfast, ME 04915-0613
Phone (801) 295-7200

Other practice location 1

201 W Layton Pkwy Ste 400
Layton, UT 84041-3692
Phone (801) 295-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230324001349 UT Part B Supplier - Clinic/Group Practice 7113282179 Receives reassigned benefits from 31 practitioners
Practice locations: Bountiful, UT; Ogden, UT; Layton, UT
O20231020002474 UT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7113282179 Practice locations: Bountiful, UT

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1952019846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33539",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150613",
            "telephone_number": "801-295-7200",
            "fax_number": "801-295-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 500",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107678",
            "telephone_number": "801-295-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Layton Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840413692",
            "country_code": "US",
            "telephone_number": "801-295-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN ORTHOPAEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "801-295-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.