Individual provider Active NPI

David Larry Flater, L.AC

  • Acupuncturist
  • Layton, UT
National Provider Identifier
1285267468
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
6054092-1201 Issued in UT
Practice address
761 W Antelope Dr
Layton, UT 84041-1630
Phone
(801) 779-2620
NPI assigned
Feb 17, 2020
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 6054092-1201 UT Primary

Addresses

Primary practice location

761 W Antelope Dr
Layton, UT 84041-1630

Mailing address

269 N 200 E Apt 2
Bountiful, UT 84010-4733
Phone (801) 725-3885

Other practice location 1

1452 E Ridgeline Dr
South Ogden, UT 84405-4946
Phone (801) 479-5777

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

LicenseStateTypeSpecialty
6054092-1201UTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasisplus Therapies CurrentSince Aug 28, 2021 Accepting new patients

Locations

761 W Antelope Dr
Layton, UT 84041
Phone (801) 499-6535

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1285267468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 N 200 E APT 2",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104733",
            "telephone_number": "801-725-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411630",
            "telephone_number": "801-779-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1452 E Ridgeline Dr",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844054946",
            "country_code": "US",
            "telephone_number": "801-479-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLATER",
        "first_name": "DAVID",
        "middle_name": "LARRY",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "6054092-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.