Active NPI
Michael Dawes, MFT
- Marriage & Family Therapist
- South Salt Lake, UT
National Provider Identifier
1396118212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106H00000X
- Practice address
- 177 W Price Ave
South Salt Lake, UT 84115-4345 - Phone
- (385) 468-4500
- Fax
- (385) 468-4461
- NPI assigned
- Nov 2, 2015
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 106H00000X | UT | Primary |
Addresses
Primary practice location
177 W Price Ave
South Salt Lake, UT 84115-4345
Mailing address
177 W Price Ave
South Salt Lake, UT 84115-4345
Phone (385) 468-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HT 002258-001 | Other | UT | MEDICAID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106H00000X | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1396118212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 W PRICE AVE",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841154345",
"telephone_number": "385-468-4500",
"fax_number": "385-468-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 W PRICE AVE",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841154345",
"telephone_number": "385-468-4500",
"fax_number": "385-468-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWES",
"first_name": "MICHAEL",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-02",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "106H00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "HT 002258-001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.