Individual provider Active NPI

John Paul Lapine, DDS

  • Dentist
  • Salt Lake City, UT
National Provider Identifier
1104247295
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13577 Issued in UT
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

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717002504 UT Order and Referring Only - DentistPractitioner - Dentist 1658684741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D01899AZMDDentist
501COMDDentist
13577UTMDDentist
23841CAMDFamily 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

Verify at the official NPI Registry.