Howard Rainey Daines, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4745989 Issued in UT

Practice address

104 W 200 S
Brigham City, UT 84302-2506

Phone

(435) 734-2394

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• UT PPO D-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 104 West Dental LLC

  • General Practice Dentistry
  • Brigham City, UT
  • NPI 1255294765
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1093810954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 200 S",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022506",
            "telephone_number": "435-734-2394",
            "fax_number": "435-734-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 200 S",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022506",
            "telephone_number": "435-734-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAINES",
        "first_name": "HOWARD",
        "middle_name": "RAINEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4745989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randee Curtis
• Elora Nielsen Cutler
• David Mitchell D'Asto
• Jonathan C D'Asto
• Nathan Gregory Daich, LCSW
• Joshua Dallon
• Lynell Dalton
• Sarah Dalton
• Daniel R. Ferguson, MD, P.C. (Brigham Center for Women's Health)
• Bradley Kurt Daniels, DC

• General Practice Dentistry in Brigham City, UT
• Providers in Brigham City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.