Highpointe Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HIGHPOINTE SURGERY CENTER LLC

Practice address

14658 S Bangerter Pkwy
Draper, UT 84020

Phone

(801) 614-2403

Fax

(801) 436-3731

NPI assigned

Jun 26, 2024

Last updated

Jun 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Robert Chidester, MDNPI 1194015693

Title

Manager/Member

Phone

(801) 455-1914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982449500. Details of each certification follow.

• CCN 46C0001091 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 46C0001091

Legal name

Highpointe Surgery Center LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 30, 2025

Last certification

Mar 19, 2025

Ownership / control type

Proprietary

Facility address

14658 South Bangerter Parkway
Draper, UT 84020

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Robert Chidester, M.D.

  • Plastic Surgery Physician
  • South Jordan, UT
  • NPI 1194015693
  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1982449500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14658 S BANGERTER PKWY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "801-614-2403",
            "fax_number": "801-436-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14658 S BANGERTER PKWY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "801-614-2403",
            "fax_number": "801-436-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHPOINTE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "CHIDESTER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "801-455-1914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Draper, UT
• Providers in Draper, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.