Daniel Anderson, MD
Individual provider Active NPI Family Medicine Physician · Layton, UT
NPI 1285216366 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1285216366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 13868159-1205 (UT)
- Practice address
- 2121 N 1700 W
Layton, UT 84041-8803 - Phone
- (801) 773-4840
- Fax
- (801) 525-8151
- NPI assigned
- Apr 27, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tanner Memorial Clinic
Practice addresses (Care Compare)
2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240802002023 | UT | Practitioner - Family Practice | 6800297227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13868159-1205 | UT | MD | Family Medicine Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Memorial Clinic | Family Medicine | Current |
Accepting new patients |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Tanner Memorial Clinic | Current |
Accepting new patients |
Locations
425 S 100 W
Layton, UT 84041
Phone (801) 682-8708
Networks
- UT PPO
Interoperability endpoints
- daniel.anderson.p1@direct.tannerclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13868159-1205 | UT | Yes |
Addresses
Primary practice location
2121 N 1700 W
Layton, UT 84041-8803
Mailing address
PO Box 337
Layton, UT 84041-0337
Phone (801) 773-4840
Other providers in Layton, UT
- Camie Andersen
- Carie Jean Andersen
- Shelby Andersen
- Alyssa Anderson
- Becky L Anderson
- Dylan Anderson
- Heather Anderson
- Holly H Anderson
- Kyleigh Nicole Anderson
- Larry A Anderson
All providers in Layton, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.