Individual provider Active NPI

Devin Jay Orvin, D.D.S.

  • Dentist
  • Bountiful, UT
National Provider Identifier
1346681483
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29067 Issued in TX
Practice address
24 S 500 W
Bountiful, UT 84010-1916
Phone
(801) 296-1606
NPI assigned
Jul 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29067 TX Primary

Addresses

Primary practice location

24 S 500 W
Bountiful, UT 84010-1916

Mailing address

24 S 500 W
Bountiful, UT 84010-1916
Phone (801) 296-1606

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218001084 UT Order and Referring Only - DentistPractitioner - Dentist 5991000655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29067TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1346681483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840101916",
            "telephone_number": "801-296-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840101916",
            "telephone_number": "801-296-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORVIN",
        "first_name": "DEVIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.