OrganizationActive
Roots and Raices Functional Medicine Inc.
NPI 1952955296 · Health Service Clinic/Center · South Ogden, UT
Provider details
- NPI number
- 1952955296
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Naylor, President(435) 267-7668
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1452 E Ridgeline Dr Ste 5
South Ogden, UT 84405-4949
Phone: (435) 267-7668
Fax: (385) 298-4027
Street-level locationGet directions
Mailing address
1452 E Ridgeline Dr Ste 5
Ogden, UT 84405-4949
Other names (DBA / former)
- Other name
- Roots and Raices Functional Medicine
- Other name
- Roots and Raices Functional Medicine
Registry dates
- Enumerated
- 2019-07-25
- Last updated
- 2020-01-02
- Certified
- 2020-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.