Organization Active NPI

David a Debenham MD PC

  • Pain Medicine (Anesthesiology) Physician
  • St George, UT
National Provider Identifier
1043473358
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
184722-1205 Issued in UT
Legal business name
DAVID A DEBENHAM MD PC
Practice address
620 S 400 E
Suite 201
St George, UT 84770-3700
Phone
(435) 656-0029
Fax
(435) 656-9144
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
David A Debenham, MDNPI 1053491183
Title
President
Phone
(435) 656-0029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 184722-1205 UT Primary

Addresses

Primary practice location

620 S 400 E
Suite 201
St George, UT 84770-3700

Mailing address

620 S 400 E
Suite 201
St George, UT 84770-3700
Phone (435) 656-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110617000184 UT Part B Supplier - Clinic/Group Practice 1254519499 Receives reassigned benefits from 1 practitioner
Practice locations: St George, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1043473358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S 400 E",
            "address_2": "SUITE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703700",
            "telephone_number": "435-656-0029",
            "fax_number": "435-656-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S 400 E",
            "address_2": "SUITE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703700",
            "telephone_number": "435-656-0029",
            "fax_number": "435-656-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A DEBENHAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "DEBENHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-656-0029",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "184722-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.