Active NPI
David Taylor Richards, M.D.
- Surgery Physician
- Vernal, UT
National Provider Identifier
1396853206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5586768-1205
- Practice address
- 175 N 100 W
Ste 202
Vernal, UT 84078-2049 - Phone
- (435) 789-4180
- Fax
- (435) 781-1185
- NPI assigned
- Aug 29, 2006
- Last updated
- Aug 10, 2011
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5586768-1205 | UT | Primary |
Addresses
Primary practice location
175 N 100 W
Ste 202
Vernal, UT 84078-2049
Mailing address
5249 Gravenstein Park
Murray, UT 84123-4562
Phone (801) 262-2830
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558768120001 | Other | UT | BLUE CROSS BLUE SHIELD |
| 005770801/000057708 | Other | UT | MEDICARE, UNSPECIFIED |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5586768-1205 | UT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richards General Surgery PC | Surgery | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Vernal, UT
- NPI 1164530903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1396853206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5249 GRAVENSTEIN PARK",
"city": "MURRAY",
"state": "UT",
"postal_code": "841234562",
"telephone_number": "801-262-2830",
"fax_number": "888-893-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N 100 W",
"address_2": "STE 202",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782049",
"telephone_number": "435-789-4180",
"fax_number": "435-781-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "DAVID",
"middle_name": "TAYLOR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "5586768-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "558768120001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE, UNSPECIFIED",
"identifier": "005770801/000057708",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.