Randall Buitron

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

920 N 0000 E/W
Manti, UT 84642-0287

Phone

(801) 420-4697

Fax

(801) 855-7302

NPI assigned

Mar 8, 2013

Last updated

Mar 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Anchor Stone Youth, Inc.

  • Foster Care Agency
  • Manti, UT
  • NPI 1407157126
  NPD (past)

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1285975664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N 0000 E/W PO BOX 287",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846420287",
            "telephone_number": "801-420-4697",
            "fax_number": "801-855-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N 0000 E/W",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846420287",
            "telephone_number": "801-420-4697",
            "fax_number": "801-855-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUITRON",
        "first_name": "RANDALL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchor Stone Youth, Inc.
• Robert D Armstrong, MD
• Leonard R. Aste, D.D.S.
• Patrick Au
• Blue Sage Youth Services
• Richard Shinichiro Carlile, D.D.S., MS
• James R Cheney
• Emily Cox, CPCI
• Richard P Cox, PHARM.D.
• Tauamanua Enosa Fiapai

• Counselor in Manti, UT
• Providers in Manti, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.