Active NPI
Daniel S. Sellers M.D. LLC
- Surgery of the Hand (Plastic Surgery) Physician
- Bountiful, UT
National Provider Identifier
1194750711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- 176560-1205
- Legal business name
- DANIEL S. SELLERS M.D. LLC
- Practice address
- 620 Medical Dr
Suite 310
Bountiful, UT 84010-5084 - Phone
- (801) 295-6554
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel S Sellers, M.D.
- Title
- Owner
- Phone
- (801) 295-6554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 176560-1205 | UT | Primary |
Addresses
Primary practice location
620 Medical Dr
Suite 310
Bountiful, UT 84010-5084
Mailing address
620 Medical Dr
Suite 310
Bountiful, UT 84010-5084
Phone (801) 295-6554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540648443016 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
620 Medical Dr
Ste 310
Bountiful, UT 84010
Phone (801) 295-6554
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Bountiful, UT
- NPI 1346217882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192406400000",
"number": "1194750711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 MEDICAL DR",
"address_2": "SUITE 310",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105084",
"telephone_number": "801-295-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 MEDICAL DR",
"address_2": "SUITE 310",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105084",
"telephone_number": "801-295-6554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL S. SELLERS M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2007-10-15",
"status": "A",
"authorized_official_last_name": "SELLERS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-295-6554",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "UT",
"license": "176560-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "540648443016",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.