Active NPI
Nicholas Cody Daley, D.O.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Salt Lake City, UT
National Provider Identifier
1346668613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 120299501204
- Practice address
- 6360 S 3000 E Ste 200
Salt Lake City, UT 84121-6925 - Phone
- (801) 797-8000
- Fax
- (855) 769-3885
- NPI assigned
- Apr 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 120299501204 | UT | Primary |
Addresses
Primary practice location
6360 S 3000 E Ste 200
Salt Lake City, UT 84121-6925
Mailing address
6360 S 3000 E Ste 200
Salt Lake City, UT 84121-6925
Phone (801) 797-8000
Other practice location 1
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 972-7688
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120299501204 | UT | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davidson Orthopedics LLC | Past | 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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Salt Lake City, UT
- NPI 1821468109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1346668613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 S 3000 E STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216925",
"telephone_number": "801-797-8000",
"fax_number": "855-769-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 S 3000 E STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216925",
"telephone_number": "801-797-8000",
"fax_number": "855-769-3885"
}
],
"practiceLocations": [
{
"address_1": "17 Davis Blvd Ste 308",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063438",
"country_code": "US",
"telephone_number": "813-972-7688",
"fax_number": "813-903-2483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALEY",
"first_name": "NICHOLAS",
"middle_name": "CODY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "UT",
"license": "120299501204",
"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 May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.