JOE R NIELSEN MD PC
NPI 1164723482
Clinic/Center in Bountiful, UT
NPI Status: Active since November 03, 2010
Contact Information
415 MEDICAL DR
D-200
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 292-6277
Fax: (801) 292-1108
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 46D0522501
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-19-2027
About JOE R NIELSEN MD PC
This page provides the complete NPI Profile along with additional information for Joe R Nielsen Md Pc, a provider established in Bountiful, Utah operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1164723482 assigned on November 2010. The practitioner's primary taxonomy code is 261Q00000X with license number 178171-1205 (UT). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Joe R Nielsen Md (President)
- NPI
- 1164723482
- Provider Name
- JOE R NIELSEN MD PC
- Entity Type
- Organization
- Location Address
- 415 MEDICAL DR D-200 BOUNTIFUL, UT 84010
- Location Phone
- (801) 292-6277
- Location Fax
- (801) 292-1108
- Mailing Address
- 415 MEDICAL DR D-200 BOUNTIFUL, UT 84010
- Mailing Phone
- (801) 292-6277
- Mailing Fax
- (801) 292-1108
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2010
- Last Update Date
- 11-03-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 178171-1205
- License State
- UT
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
- U Health Plus Silver - EPO
- U Health Plus Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D0522501
- Facility Type
- Physician Office
- Certificate Effective Date
- October 20, 2025
- Certificate Expiration Date
- October 19, 2027
- Laboratory Director
- JOE R. NIELSEN MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Joe R Nielsen Md Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164723482, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOUNTIFUL, UT 84010
BOUNTIFUL, UT 84010
BOUNTIFUL, UT 84010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164723482, enumerated as an "organization" on November 03, 2010.
The provider is located at 415 MEDICAL DR D-200 BOUNTIFUL, UT 84010 and the phone number is (801) 292-6277.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: University of Utah Health Plans. Please consult your insurance carrier or call the provider to verify.
