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JOE R NIELSEN MD PC
NPI 1164723482
Clinic/Center in Bountiful, UT

Active since November 03, 2010CLIA 46D0522501 · Certificate of Compliance
415 MEDICAL DR, D-200, BOUNTIFUL, UT 84010(801) 292-6277(801) 292-1108 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joe R Nielsen Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOE R NIELSEN MD PC (NPI 1164723482) is a healthcare organization registered as a clinic/center in Bountiful, Utah and active in the NPI registry since November 2010. The organization holds a CLIA Certificate of Compliance certificate valid through October 19, 2027 and lists Joe R Nielsen, President, as its authorized official.

NPPES Registry Identity

NPI1164723482
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJOE R NIELSEN MD PC
Location Address415 MEDICAL DR, D-200Bountiful, UT 84010-4946
Mailing Address415 Medical Dr, D-200Bountiful, UT 84010-4946 · (801) 292-6277 · Fax (801) 292-1108
Phone(801) 292-6277
Fax(801) 292-1108
Organization SubpartNo
Authorized OfficialJoe R NielsenPresident · (801) 292-6277
Enumeration DateNovember 3, 2010
✔ NPI 1164723482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in UT · 178171-1205
Definition
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).
415 MEDICAL DR, Bountiful, UT 84010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 46D0522501

Joe R Nielsen MD · Bountiful, UT
Active · expires Oct 19, 2027
CLIA Number46D0522501
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorJoe R. Nielsen MD
Laboratory Phone(801) 292-6277
Laboratory LocationJoe R Nielsen MD415 Medical Dr Ste D-200, Bountiful, UT 84010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLIN JOHNS-HEGERHORST
Behavior Technician
415 MEDICAL DR, SUITE A100
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
RYAN THOMAS LYTHGOE
Behavior Technician
415 MEDICAL DR
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
WILLIAM T SADLER MD PC
Internal Medicine (Pulmonary Disease)
415 MEDICAL DR, SUITE C202
BOUNTIFUL, UT 84010
Davis County (801) 295-8523
DENNIS R PETERSON M.D.P.C.
Family Medicine
415 MEDICAL DR, SUITE B200
BOUNTIFUL, UT 84010
Davis County (801) 292-7254
MORGAN GARRISON
Behavior Technician
415 MEDICAL DR
BOUNTIFUL, UT 84010
Davis County (801) 683-1062
LUEKENGA WAY, LLC
Clinic/Center (Hearing and Speech)
415 MEDICAL DR, 202A
BOUNTIFUL, UT 84010
Davis County (801) 298-4327
DR. CHRISTINE A CHENG MD
Plastic Surgery
415 MEDICAL DR, SUITE D102
BOUNTIFUL, UT 84010
Davis County (801) 298-9774
MR. CRAIG W BERTHOLD L.C.S.W.
Social Worker (Clinical)
415 MEDICAL DR, SUITE C100
BOUNTIFUL, UT 84010
Davis County (801) 292-2389

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joe R Nielsen MD PC's NPI number?

The NPI number for Joe R Nielsen MD PC is 1164723482. It was assigned to this organization in the NPPES registry on November 3, 2010.

Where is Joe R Nielsen MD PC located?

Joe R Nielsen MD PC is located at 415 Medical Dr D-200, Bountiful, UT 84010. The listed phone number is (801) 292-6277.

What is Joe R Nielsen MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Joe R Nielsen MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D0522501) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Joe R Nielsen MD PC accept?

Health plans from University of Utah Health Plans list Joe R Nielsen MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joe R Nielsen MD PC was last updated on November 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.