Carl Kent Hebdon, M.D., M.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

160845-8905 Issued in UT

Practice address

2040 E Murray Holladay Rd
Ste 209
Salt Lake City, UT 84117-5142

Phone

(801) 273-0306

Fax

(801) 237-0317

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1215971759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E MURRAY HOLLADAY RD",
            "address_2": "STE 209",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175142",
            "telephone_number": "801-273-0306",
            "fax_number": "801-273-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E MURRAY HOLLADAY RD",
            "address_2": "STE 209",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175142",
            "telephone_number": "801-273-0306",
            "fax_number": "801-237-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBDON",
        "first_name": "CARL",
        "middle_name": "KENT",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "160845-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Heaton, PHARMD
• Andrew Heaton, PA
• Annessa Heaton
• Lisa Heaton
• Jennifer Hebdon-Seljestad, LCSW
• Darci Hebenstreit
• Andrea Juliet Hebert, M.D.
• Devyn Faith Hebert
• Jeffrey Hebert, D.C.
• Hannah Clare Hebertson

• Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.