Dennis J. Wyman M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

1616321205 Issued in UT

Legal business name

DENNIS J. WYMAN M.D.

Practice address

175 W 200 S
Suite 4009
Salt Lake City, UT 84101-1413

Phone

(801) 359-7756

NPI assigned

Mar 5, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis J Wyman, M.D.NPI 1316946015

Title

President

Phone

(801) 359-7756

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Jon Wyman, M.D.

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1316946015
  NPD (past) Authorized official
• Robert Keith Rothfeder, MD

  • Pediatrics Physician
  • Salt Lake City, UT
  • NPI 1750381307
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1184753014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W 200 S",
            "address_2": "SUITE 4009",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011413",
            "telephone_number": "801-359-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 200 S",
            "address_2": "SUITE 4009",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011413",
            "telephone_number": "801-359-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J. WYMAN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-359-7756",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "UT",
            "license": "1616321205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Joseph Deniston, PHARMD
• Mica Denman, SSW
• Bailey Denna
• Kent Denney
• Jillian Lorraine Denning, CSW
• Dusti Lyn Dennis
• Lawrence Dennis
• Willie Gene Dennis
• Gretchen Dennison, FNP-C
• Christina C Denny

• General Practice Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.