Active NPI
Marina V Pitcher, DMD
- Dentist
- Taylorsville, UT
National Provider Identifier
1104421072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12010990-9923
- Practice address
- 6065 S Redwood Rd
Taylorsville, UT 84123-5330 - Phone
- (801) 503-0035
- NPI assigned
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12010990-9923 | UT | Primary |
Addresses
Primary practice location
6065 S Redwood Rd
Taylorsville, UT 84123-5330
Mailing address
1861 S Lake St Apt 1
Salt Lake City, UT 84105-3104
Phone (509) 531-9938
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010990-9923 | UT | MD | Dentist |
Networks
- UT PPO D-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1104421072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 S LAKE ST APT 1",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841053104",
"telephone_number": "509-531-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 S REDWOOD RD",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235330",
"telephone_number": "801-503-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITCHER",
"first_name": "MARINA",
"middle_name": "V",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "12010990-9923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.