Individual provider Active NPI

David Brent Rowell, DDS

  • Dentist
  • Murray, UT
National Provider Identifier
1013072248
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
136849 Issued in UT
Practice address
6095 Fashion Blvd
Suite 200
Murray, UT 84107-7397
Phone
(801) 262-4662
Fax
(801) 268-3813
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 136849 UT Primary

Addresses

Primary practice location

6095 Fashion Blvd
Suite 200
Murray, UT 84107-7397

Mailing address

6095 Fashion Blvd
Suite 200
Murray, UT 84107-7397
Phone (801) 262-4662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
136849UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mwh02 LLC PastSince Nov 3, 2024 Accepting new patients
Vortex LLC PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013072248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 FASHION BLVD",
            "address_2": "SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077397",
            "telephone_number": "801-262-4662",
            "fax_number": "801-268-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 FASHION BLVD",
            "address_2": "SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077397",
            "telephone_number": "801-262-4662",
            "fax_number": "801-268-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWELL",
        "first_name": "DAVID",
        "middle_name": "BRENT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "136849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.