Active NPI
Joshua Dambara
- Marriage & Family Therapist
- Kanab, UT
National Provider Identifier
1245515683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 8059761-3902
- Practice address
- 217 E 300 S
Suite 207
Kanab, UT 84741-3608 - Phone
- (424) 353-3265
- Fax
- (435) 644-5097
- NPI assigned
- Oct 17, 2011
- Last updated
- Feb 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 8059761-3902 | UT | Primary |
Addresses
Primary practice location
217 E 300 S
Suite 207
Kanab, UT 84741-3608
Mailing address
217 E 300 S
Suite 207
Kanab, UT 84741-3608
Phone (424) 353-3265
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8059761-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455235200000",
"number": "1245515683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E 300 S",
"address_2": "SUITE 207",
"city": "KANAB",
"state": "UT",
"postal_code": "847413608",
"telephone_number": "424-353-3265",
"fax_number": "435-644-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E 300 S",
"address_2": "SUITE 207",
"city": "KANAB",
"state": "UT",
"postal_code": "847413608",
"telephone_number": "424-353-3265",
"fax_number": "435-644-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMBARA",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2016-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "8059761-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kanab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.