Active NPI
J. Flint Tomlinson, D.M.D.
- General Practice Dentistry
- Roosevelt, UT
National Provider Identifier
1154563294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6629053-9922
- Practice address
- 481 W 200 N
#62-16
Roosevelt, UT 84066-2743 - Phone
- (435) 722-0202
- Fax
- (435) 722-0238
- NPI assigned
- Apr 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6629053-9922 | UT | Primary |
| General Practice Dentistry | 1223G0001X | 6629053-8903 | UT |
Addresses
Primary practice location
481 W 200 N
#62-16
Roosevelt, UT 84066-2743
Mailing address
481 W 200 N
#62-16
Roosevelt, UT 84066-2743
Phone (435) 722-0202
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 |
|---|---|---|---|
| 6629053-8903 | UT | MD | General Practice Dentistry |
| 6629053-9922 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238976000000",
"number": "1154563294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 W 200 N",
"address_2": "#62-16",
"city": "ROOSEVELT",
"state": "UT",
"postal_code": "840662743",
"telephone_number": "435-722-0202",
"fax_number": "435-722-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 W 200 N",
"address_2": "#62-16",
"city": "ROOSEVELT",
"state": "UT",
"postal_code": "840662743",
"telephone_number": "435-722-0202",
"fax_number": "435-722-0238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLINSON",
"first_name": "J.",
"middle_name": "FLINT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-06",
"last_updated": "2009-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "6629053-9922",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "6629053-8903",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roosevelt, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.