Active NPI
Robert Kiyomura MD PC
- Gastroenterology Physician
- Layton, UT
National Provider Identifier
1063527422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- ROBERT KIYOMURA MD PC
- Practice address
- 2084 Robins Dr
Suite B
Layton, UT 84041-1100 - Phone
- (801) 773-9710
- Fax
- (801) 773-9944
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Shigeru Kiyomura, M.D.
- Title
- President
- Phone
- (801) 773-9710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
2084 Robins Dr
Suite B
Layton, UT 84041-1100
Mailing address
2084 Robins Dr
Suite B
Layton, UT 84041-1100
Phone (801) 773-9710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 556683643005 | Medicaid | UT |
Other names 1
- Davis North Gastroenterology
National Provider Directory
National Provider DirectoryLocations
2084 N Robins Dr
Ste B
Layton, UT 84041
Phone (801) 773-9710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063527422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2084 ROBINS DR",
"address_2": "SUITE B",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411100",
"telephone_number": "801-773-9710",
"fax_number": "801-773-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 ROBINS DR",
"address_2": "SUITE B",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411100",
"telephone_number": "801-773-9710",
"fax_number": "801-773-9944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT KIYOMURA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIYOMURA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SHIGERU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-773-9710",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "556683643005",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Davis North Gastroenterology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.