Active NPI
Darin Ralph Knudson, D.D.S.
- Dentist
- West Jordan, UT
National Provider Identifier
1396942850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6656202-8903
- Practice address
- 6973 S 4800 W
Suite C
West Jordan, UT 84084-7927 - Phone
- (801) 840-4833
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6656202-8903 | UT | Primary |
Addresses
Primary practice location
6973 S 4800 W
Suite C
West Jordan, UT 84084-7927
Mailing address
1202 N 2725 W
Layton, UT 84041-3412
Phone (801) 529-8954
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 |
|---|---|---|---|
| 6656202-8903 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1396942850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 N 2725 W",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413412",
"telephone_number": "801-529-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6973 S 4800 W",
"address_2": "SUITE C",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840847927",
"telephone_number": "801-840-4833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUDSON",
"first_name": "DARIN",
"middle_name": "RALPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "6656202-8903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.