Individual provider Active NPI

Kent Joseph Baugh, DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Murray, UT
National Provider Identifier
1194294488
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
140981 Issued in UT
Practice address
164 E 5900 S Ste A109
Murray, UT 84107-7248
Phone
(801) 266-0061
Fax
(801) 266-2206
NPI assigned
Nov 16, 2018
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 140981 UT Primary

Addresses

Primary practice location

164 E 5900 S Ste A109
Murray, UT 84107-7248

Mailing address

164 E 5900 S Ste A109
Murray, UT 84107-7248
Phone (801) 266-0061

Other practice location 1

6584 N. Creekside Lane
Ste 100
Park City, UT 84098
Phone (435) 649-6332

Other identifiers 1

IdentifierTypeStateIssuer
140981OtherUTSTATE OF UTAH LICENSE

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

LicenseStateTypeSpecialty
140981UTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Baugh Orthodontics Past Accepting new patients
Adams Dentistry, PLLC Single Specialty Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1194294488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 E 5900 S STE A109",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077248",
            "telephone_number": "801-266-0061",
            "fax_number": "801-266-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 E 5900 S STE A109",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077248",
            "telephone_number": "801-266-0061",
            "fax_number": "801-266-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6584 N. Creekside Lane",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "84098",
            "country_code": "US",
            "telephone_number": "435-649-6332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "KENT",
        "middle_name": "JOSEPH",
        "credential": "DMD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "140981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH LICENSE",
            "identifier": "140981",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 16, 2018; 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.