Richard H Odell, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

207N00000X Issued in UT

Practice address

1345 E 3900 S Ste 110
Salt Lake City, UT 84124-4403

Phone

(801) 272-4219

Fax

(801) 274-8565

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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

• Garling Medical PC

  dba Dermatology Affiliates

  • Dermatology Physician
  • Salt Lake City, UT
  • NPI 1639652308
  NPD

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1215999875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241474",
            "telephone_number": "801-272-4219",
            "fax_number": "801-274-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E 3900 S STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244403",
            "telephone_number": "801-272-4219",
            "fax_number": "801-274-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Commercial Way",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829014753",
            "country_code": "US",
            "telephone_number": "801-272-4219",
            "fax_number": "801-274-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODELL",
        "first_name": "RICHARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "207N00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederic Zachary Oddone, DPM
• Bismarck Christian Odei, MD
• Cassie Odell, LCSW
• David Hardy Odell, MD
• Ireland Jade Odell, RN
• Timothy W. Odell, MD
• Lynda Hill Oderda, PHARMD
• Madeleine Odette
• Kendra L Odiley
• Maria Silvina Odstrcil Bobillo, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.