CMS-1500 Box 24J / 33a • NPI
1225708431
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207RI0011X (CMS C3)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
6321 S REDWOOD RD STE 102, TAYLORSVILLE, UT, 84123-6799
✓ 9-Digit EDI 837 ZIP+4 (84123-6799)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1225708431 (ADVANCED VEIN AND VASCULAR CENTERS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1225708431 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED VEIN AND VASCULAR CENTERS LLC |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RI0011X (Internal Medicine, Interventional Cardiology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 6321 S REDWOOD RD STE 102, TAYLORSVILLE, UT, 84123-6799 |
| Practice Telephone / Fax | Tel: (385) 388-8003 | Fax: (385) 344-4006 |
| Administrative Mailing Address | 6321 S REDWOOD RD STE 102, TAYLORSVILLE, UT, 84123-6799 |
| Enumeration & Last Sync | Enumerated: 2021-09-18 | CMS Record Updated: 2022-02-04 |
| Authorized Official | DENNIS MUNFORD (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RI0011X)
What Does Taxonomy Code 207RI0011X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0011X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED VEIN AND VASCULAR CENTERS LLC)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
213E00000X — PodiatristPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist | State: N/A | License: Verified | Primary: Secondary |
213ES0103X — Podiatrist, Foot & Ankle SurgeryPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery | State: N/A | License: Verified | Primary: Secondary |
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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