Active NPI
David Lionel Purbaugh
- Social Worker
- Sandy, UT
National Provider Identifier
1013528538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11788176-3502
- Practice address
- 11075 S State St BLDG 32
Sandy, UT 84070-5164 - Phone
- (801) 432-7696
- NPI assigned
- Aug 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11788176-3502 | UT | Primary |
Addresses
Primary practice location
11075 S State St BLDG 32
Sandy, UT 84070-5164
Mailing address
11075 S State St BLDG 32
Sandy, UT 84070-5164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11788176-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1013528538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11075 S STATE ST BLDG 32",
"city": "SANDY",
"state": "UT",
"postal_code": "840705164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11075 S STATE ST BLDG 32",
"city": "SANDY",
"state": "UT",
"postal_code": "840705164",
"telephone_number": "801-432-7696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURBAUGH",
"first_name": "DAVID",
"middle_name": "LIONEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "11788176-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.