Maple Mountain Medical LLC
Maple Mountain Medical LLC is a healthcare organization registered as Family Medicine Physician in Mapleton, UT, holding Type 2 (organization) NPI 1629816228 since 2024. The authorized official on file is Michael Johnson, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629816228 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Maple Mountain Medical LLC |
| Practice address | 724 S 1600 W, Mapleton, UT, 84664 |
| Phone | 8015156048 |
| Fax | 8558485748 |
| Enumeration date | 2024-07-17 |
| Last updated in NPPES | 2024-07-17 |
Authorized official
| Name | Michael Johnson |
|---|---|
| Title | Ceo |
| Phone | 3323303903 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Maple Mountain Medical LLC NPI: 1629816228 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 724 S 1600 W, Mapleton, UT, 84664
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790902898 | Healthwise Pharmacy Inc | Organization | Long Term Care Pharmacy | Mapleton, UT |
| 1457603037 | Maple Mountain Pharmacy Inc | Organization | Community/Retail Pharmacy | Mapleton, UT |
| 1952707069 | James Lamm | Individual | Mental Health Counselor | Mapleton, UT |
| 1487192621 | Maple Mountain Pharmacy Inc. | Organization | Pharmacy | Mapleton, UT |
| 1407327174 | Michael Johnson | Individual | Pharmacist | Mapleton, UT |
| 1093301749 | Breanna Upstill | Individual | Pharmacist | Mapleton, UT |
| 1326638040 | Taylor Ottesen | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Mapleton, UT |
| 1578157152 | Zachary Johnson | Individual | Pharmacist | Mapleton, UT |
Verify this record
Cross-check NPI 1629816228 against the authoritative CMS record: view Maple Mountain Medical LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Maple Mountain Medical LLC?
Who is the authorized official for Maple Mountain Medical LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-17.