Individual provider Active NPI

Stanford Hammond Durrant, DMD

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1457563405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
142843 Issued in UT
Practice address
1770 Fort Union Blvd
Suite #200
Salt Lake City, UT 84121-2876
Phone
(801) 942-1400
Fax
(801) 943-1951
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 142843 UT Primary

Addresses

Primary practice location

1770 Fort Union Blvd
Suite #200
Salt Lake City, UT 84121-2876

Mailing address

1770 Fort Union Blvd
Suite #200
Salt Lake City, UT 84121-2876
Phone (801) 942-1400

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
142843UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457563405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 FORT UNION BLVD",
            "address_2": "SUITE #200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212876",
            "telephone_number": "801-942-1400",
            "fax_number": "801-943-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 FORT UNION BLVD",
            "address_2": "SUITE #200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212876",
            "telephone_number": "801-942-1400",
            "fax_number": "801-943-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRANT",
        "first_name": "STANFORD",
        "middle_name": "HAMMOND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.