Active NPI
John Paul Lapine, DDS
- Dentist
- Salt Lake City, UT
National Provider Identifier
1104247295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13577
- Practice address
- 3865 South 3500 East Ste. 201
Salt Lake City, UT 84109 - Phone
- (801) 272-4999
- Fax
- (801) 272-5624
- NPI assigned
- Dec 17, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13577 | UT | Primary |
| Dentist | 122300000X | D01899 | AZ | |
| Dentist | 122300000X | 23841 | CA | |
| Dentist | 122300000X | 501 | CO |
Addresses
Primary practice location
3865 South 3500 East Ste. 201
Salt Lake City, UT 84109
Mailing address
3865 South 3500 East Ste. 201
Salt Lake City, UT 84109
Phone (801) 272-4999
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150717002504 | UT | Order and Referring Only - Dentist | 1658684741 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D01899 | AZ | MD | Dentist |
| 501 | CO | MD | Dentist |
| 13577 | UT | MD | Dentist |
| 23841 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1104247295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3865 SOUTH 3500 EAST STE. 201",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84109",
"telephone_number": "801-272-4999",
"fax_number": "801-272-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 SOUTH 3500 EAST STE. 201",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84109",
"telephone_number": "801-272-4999",
"fax_number": "801-272-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPINE",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-17",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "13577",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D01899",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "23841",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "501",
"primary": false
}
],
"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 Dec 17, 2013; 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.