Individual provider Active NPI

David Lynn Alvord, D.D.S.

  • General Practice Dentistry
  • South Jordan, UT
National Provider Identifier
1447315692
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
566037-9922 Issued in UT
Practice address
1685 W 10600 S
Suite A2
South Jordan, UT 84095-8697
Phone
(801) 254-7003
Fax
(801) 878-8699
NPI assigned
Dec 27, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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 566037-9922 UT Primary

Addresses

Primary practice location

1685 W 10600 S
Suite A2
South Jordan, UT 84095-8697

Mailing address

1685 W 10600 S
Suite A2
South Jordan, UT 84095-8697
Phone (801) 254-7003

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

LicenseStateTypeSpecialty
566037-9922UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1447315692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 W 10600 S",
            "address_2": "SUITE A2",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958697",
            "telephone_number": "801-254-7003",
            "fax_number": "801-878-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 W 10600 S",
            "address_2": "SUITE A2",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958697",
            "telephone_number": "801-254-7003",
            "fax_number": "801-878-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVORD",
        "first_name": "DAVID",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "566037-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.