Individual provider Active NPI

Daniel S Bethers, DDS

  • Endodontics
  • Saint George, UT
National Provider Identifier
1376745661
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5895914-9921 Issued in UT
Practice address
1224 S River Rd
Building E Suite 2
Saint George, UT 84790-8285
Phone
(435) 674-7430
Fax
(435) 669-6275
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5895914-9921 UT Primary

Addresses

Primary practice location

1224 S River Rd
Building E Suite 2
Saint George, UT 84790-8285

Mailing address

1765 W 70 South Cir
Saint George, UT 84770-5034
Phone (435) 674-1538

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5895914-9921UTMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel S Bethers DDS PC Endodontics 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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1376745661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 W 70 SOUTH CIR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847705034",
            "telephone_number": "435-674-1538",
            "fax_number": "435-669-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 S RIVER RD",
            "address_2": "BUILDING E SUITE 2",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908285",
            "telephone_number": "435-674-7430",
            "fax_number": "435-669-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHERS",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "5895914-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.