Active NPI
Daniel Russell Houtz, M.A., CCC-SLP
- Speech-Language Pathologist
- Salt Lake City, UT
National Provider Identifier
1073729679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6574078-4102
- Practice address
- Intermountain Voice & Swallowing Ctr
440 D Street, Suite 202
Salt Lake City, UT 84143-0001 - Phone
- (801) 480-4972
- Fax
- (801) 480-1810
- NPI assigned
- May 14, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6574078-4102 | UT | Primary |
Addresses
Primary practice location
Intermountain Voice & Swallowing Ctr
440 D Street, Suite 202
Salt Lake City, UT 84143-0001
Mailing address
Intermountain Voice & Swallowing Ctr
440 D Street, Suite 202
Salt Lake City, UT 84143-0001
Phone (801) 480-4972
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6574078-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1073729679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "INTERMOUNTAIN VOICE & SWALLOWING CTR",
"address_2": "440 D STREET, SUITE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841430001",
"telephone_number": "801-480-4972",
"fax_number": "801-480-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INTERMOUNTAIN VOICE & SWALLOWING CTR",
"address_2": "440 D STREET, SUITE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841430001",
"telephone_number": "801-480-4972",
"fax_number": "801-480-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUTZ",
"first_name": "DANIEL",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "6574078-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.