Active NPI
Robert Dirk Noyes, MD
- Surgical Oncology Physician
- Murray, UT
National Provider Identifier
1124107792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 1577121205
- Practice address
- 5169 Cottonwood St
#440
Murray, UT 84107-6767 - Phone
- (801) 507-3915
- Fax
- (801) 507-3916
- NPI assigned
- Nov 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 1577121205 | UT | Primary |
| Surgery Physician | 208600000X | 157712-1205 | UT |
Addresses
Primary practice location
5169 Cottonwood St
#440
Murray, UT 84107-6767
Mailing address
5169 Cottonwood St
#440
Murray, UT 84107-6767
Phone (801) 507-3915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942854057089 | Medicaid | UT |
Other names 1
- R Dirk Noyes
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1577121205 | UT | MD | Surgical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1124107792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5169 COTTONWOOD ST",
"address_2": "#440",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076767",
"telephone_number": "801-507-3915",
"fax_number": "801-507-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5169 COTTONWOOD ST",
"address_2": "#440",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076767",
"telephone_number": "801-507-3915",
"fax_number": "801-507-3916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOYES",
"first_name": "ROBERT",
"middle_name": "DIRK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "UT",
"license": "1577121205",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "157712-1205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "942854057089",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "R",
"last_name": "NOYES",
"middle_name": "DIRK",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.