Active NPI
Richard B Sampson, MD
- General Practice Physician
- Lehi, UT
National Provider Identifier
1407030604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5003175-1205
- Practice address
- 127 E Main St
Suite E
Lehi, UT 84043-2288 - Phone
- (801) 766-9822
- Fax
- (801) 766-9441
- NPI assigned
- Dec 24, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5003175-1205 | UT | Primary |
Addresses
Primary practice location
127 E Main St
Suite E
Lehi, UT 84043-2288
Mailing address
127 E Main St
Suite E
Lehi, UT 84043-2288
Phone (801) 766-9822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407030604 | Medicaid | UT |
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
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1407030604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 E MAIN ST",
"address_2": "SUITE E",
"city": "LEHI",
"state": "UT",
"postal_code": "840432288",
"telephone_number": "801-766-9822",
"fax_number": "801-766-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E MAIN ST",
"address_2": "SUITE E",
"city": "LEHI",
"state": "UT",
"postal_code": "840432288",
"telephone_number": "801-766-9822",
"fax_number": "801-766-9441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSON",
"first_name": "RICHARD",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "UT",
"license": "5003175-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407030604",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.