Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

UTAH MODERN MEDICAL LLC
NPI 1689310948
General Practice in Lehi, UT

Active since May 10, 2022
3300 N ASHTON BLVD, STE 450, LEHI, UT 84043(385) 455-7170(888) 823-5887 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2026, Feb 10, 2025, Jul 7, 2022 and 1 more (4 updates tracked since 2022).

About Utah Modern Medical Llc NPPES

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

UTAH MODERN MEDICAL LLC (NPI 1689310948) is a healthcare organization registered as a general practice in Lehi, Utah and active in the NPI registry since May 2022. The organization lists Dave Bullock, Owner, as its authorized official.

NPPES Registry Identity

NPI1689310948
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameUTAH MODERN MEDICAL LLC
Location Address3300 N ASHTON BLVD, STE 450Lehi, UT 84043-6153
Mailing Address3300 N Ashton Blvd, Ste 450Lehi, UT 84043-6153 · (385) 455-7170 · Fax (888) 823-5887
Fax(888) 823-5887
Organization SubpartNo
Authorized OfficialDave BullockOwner · (385) 455-7170
Enumeration DateMay 10, 2022
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1689310948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
3300 N ASHTON BLVD, Lehi, UT 84043

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Utah Modern Medical LLC's NPI number?

The NPI number for Utah Modern Medical LLC is 1689310948. It was assigned to this organization in the NPPES registry on May 10, 2022.

Where is Utah Modern Medical LLC located?

Utah Modern Medical LLC is located at 3300 N Ashton Blvd Ste 450, Lehi, UT 84043. The listed phone number is (385) 455-7170.

What is Utah Modern Medical LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Utah Modern Medical LLC accept?

Health plans from Molina Healthcare list Utah Modern Medical LLC 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 Utah Modern Medical LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.