Individual provider Active NPI

Jared C Dunn, MD

  • Sports Medicine (Emergency Medicine) Physician
  • Salt Lake City, UT
National Provider Identifier
1003823808
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
5212953-1205 Issued in UT
Practice address
5848 S Fashion Blvd Ste 110
Salt Lake City, UT 84107-6121
Phone
(801) 314-4020
Fax
(801) 314-4015
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 52129531205 UT
Sports Medicine (Emergency Medicine) Physician 207PS0010X 5212953-1205 UT Primary

Addresses

Primary practice location

5848 S Fashion Blvd Ste 110
Salt Lake City, UT 84107-6121

Mailing address

5848 S Fashion Blvd Ste 110
Salt Lake City, UT 84107-6121
Phone (801) 314-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000524 UT Practitioner - Family PracticePractitioner - Sports Medicine 1951342500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Medical University of South Carolina College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopedic Clinic LCGroup PAC ID 8527090729, 18 clinicians

Practice addresses (Care Compare)

5848 S Fashion Blvd
Suite 110
Salt Lake City, UT 84107-6175
Phone (801) 314-4188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.02 of 100Reported as individual
Quality
56.28
Promoting interoperability
98
Improvement activities
40
Cost
55.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52129531205UTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopedic Clinic LC CurrentSince Dec 7, 2009 Accepting new patients

Locations

11762 S State St
Ste 160
Draper, UT 84020
Phone (385) 977-8126

1179 W Park Ln
Farmington, UT 84025

5848 S Fashion Blvd
Ste 110
Salt Lake Cty, UT 84107
Phone (801) 314-4188

Interoperability endpoints

  • Direct secure messaging: jared.dunn.1@28271.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1003823808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 S FASHION BLVD STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076121",
            "telephone_number": "801-314-4020",
            "fax_number": "801-314-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 S FASHION BLVD STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076121",
            "telephone_number": "801-314-4020",
            "fax_number": "801-314-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JARED",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "52129531205",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "UT",
            "license": "5212953-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.