Individual provider Active NPI

Dylan Mansfield, HIS-INTERN

  • Hearing Instrument Specialist
  • Heber City, UT
National Provider Identifier
1063224533
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
13970332-4602 Issued in UT
Practice address
150 N Main St Ste 108
Heber City, UT 84032-1671
Phone
(801) 203-4055
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 13970332-4602 UT Primary

Addresses

Primary practice location

150 N Main St Ste 108
Heber City, UT 84032-1671

Mailing address

2156 N Hill Field Rd Ste 3
Layton, UT 84041-4771
Phone (801) 203-4055

Other practice location 1

2156 N Hill Field Rd Ste 3
Layton, UT 84041-4771
Phone (801) 203-4055

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
13970332-4602UTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
D&a Financial Services, LLC Hearing Instrument Specialist PastSince Jan 26, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1063224533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 N HILL FIELD RD STE 3",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414771",
            "telephone_number": "801-203-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MAIN ST STE 108",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321671",
            "telephone_number": "801-203-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2156 N Hill Field Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840414771",
            "country_code": "US",
            "telephone_number": "801-203-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "DYLAN",
        "credential": "HIS-INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "UT",
            "license": "13970332-4602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.