Individual provider Active NPI

Dennis L Avner, M.D.

  • Gastroenterology Physician
  • Salt Lake City, UT
National Provider Identifier
1346250875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
156602 Issued in UT
Practice address
1220 E 3900 S
Suite 3C
Salt Lake City, UT 84124-1327
Phone
(801) 262-9555
Fax
(801) 262-8926
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 156602 UT Primary

Addresses

Primary practice location

1220 E 3900 S
Suite 3C
Salt Lake City, UT 84124-1327

Mailing address

1220 E 3900 S
Suite 3C
Salt Lake City, UT 84124-1327
Phone (801) 262-9555

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
156602UTMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346250875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S",
            "address_2": "SUITE 3C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241327",
            "telephone_number": "801-262-9555",
            "fax_number": "801-262-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S",
            "address_2": "SUITE 3C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241327",
            "telephone_number": "801-262-9555",
            "fax_number": "801-262-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVNER",
        "first_name": "DENNIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "156602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.