Active NPI
Lance David Starling, DMD
- Dentist
- South Jordan, UT
National Provider Identifier
1255024816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9363273-9923
- Practice address
- 5087 W Lake Terrace Ave
South Jordan, UT 84009-6205 - Phone
- (801) 360-4770
- NPI assigned
- May 31, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9363273-9923 | UT | Primary |
Addresses
Primary practice location
5087 W Lake Terrace Ave
South Jordan, UT 84009-6205
Mailing address
4775 W Daybreak Pkwy Ste 103
South Jordan, UT 84009-5139
Phone (801) 206-4385
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 |
|---|---|---|---|
| 9363273-9923 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1255024816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 W DAYBREAK PKWY STE 103",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840095139",
"telephone_number": "801-206-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5087 W LAKE TERRACE AVE",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840096205",
"telephone_number": "801-360-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARLING",
"first_name": "LANCE",
"middle_name": "DAVID",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "9363273-9923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.