Individual provider Active NPI

Gregory Patrick Dupont, MD

  • Specialist
  • West Jordan, UT
National Provider Identifier
1306943121
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
180866-1205 Issued in UT
Practice address
9103 S 1300 W
Suite 103
West Jordan, UT 84088-6706
Phone
(801) 432-8690
Fax
(801) 432-8681
NPI assigned
Sep 20, 2006
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 180866-1205 UT Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 180866-1205 UT
Pulmonary Disease Physician 207RP1001X 180866-1205 UT

Addresses

Primary practice location

9103 S 1300 W
Suite 103
West Jordan, UT 84088-6706

Mailing address

9103 S 1300 W
Suite 103
West Jordan, UT 84088-6706
Phone (801) 432-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050217000277 UT Practitioner - Pulmonary Disease 0648222729 Practice locations: West Jordan, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
180866-1205UTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory P. Dupont MD Specialist PastSince Jan 1, 1990 Accepting new patients

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1306943121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 S 1300 W",
            "address_2": "SUITE 103",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886706",
            "telephone_number": "801-432-8690",
            "fax_number": "801-432-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 S 1300 W",
            "address_2": "SUITE 103",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886706",
            "telephone_number": "801-432-8690",
            "fax_number": "801-432-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "GREGORY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "180866-1205",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "UT",
            "license": "180866-1205",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "180866-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.