Organization Active NPI

Robert Kiyomura MD PC

  • Gastroenterology Physician
  • Layton, UT
National Provider Identifier
1063527422
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
556683643005MedicaidUT

Other names 1

  • Davis North Gastroenterology Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.