Kevin Matthew Farley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11739476-9923 Issued in UT

Practice address

805 S 500 W
Payson, UT 84651-3203

Phone

(801) 592-6067

NPI assigned

Jun 12, 2020

Last updated

May 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin M Farley DMD PLLC

  dba Farley Family Dentistry

  • Dental Clinic/Center
  • Payson, UT
  • NPI 1295584365
  NPD Authorized official

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1245855410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S 500 W STE 10",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846513229",
            "telephone_number": "801-592-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S 500 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846513203",
            "telephone_number": "801-592-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "11739476-9923",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11739476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Audiology & Hearing Services, Inc
• Family Foot and Ankle Specialists LLC
• Kerry Fannin, CSW
• Chad William Farley, MD
• John M. Farley, D.D.S.
• Salvador Fernandez, MD
• Neal Daniel Ferrin, DO
• Jackson R Fitzgerald, MD
• Lena Fleming, CSW
• Joshua Benjamin Forbush

• Dentist in Payson, UT
• Providers in Payson, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.