Individual provider Active NPI

John Lee Roring, DDS

  • General Practice Dentistry
  • Clinton, UT
National Provider Identifier
1417185174
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5561777-9922 Issued in UT
Practice address
2207 W 1800 N
Clinton, UT 84015
Phone
(801) 825-3993
Fax
(801) 825-3331
NPI assigned
Jul 1, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5561777-9922 UT Primary

Addresses

Primary practice location

2207 W 1800 N
Clinton, UT 84015

Mailing address

2207 W 1800 N
Clinton, UT 84015
Phone (801) 825-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121002320 UT Order and Referring Only - DentistPractitioner - Dentist 0941503155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Dental of Clinton General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1417185174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 W 1800 N",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "84015",
            "telephone_number": "801-825-3993",
            "fax_number": "801-825-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 W 1800 N",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "84015",
            "telephone_number": "801-825-3993",
            "fax_number": "801-825-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORING",
        "first_name": "JOHN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5561777-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, UT

Sources for this page

Verify at the official NPI Registry.