Ian Matthew Dawe, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

177817-4405 Issued in UT

Practice address

1215 S 1680 W
Orem, UT 84058-4939

Phone

(801) 342-5409

Fax

(801) 224-6010

NPI assigned

Aug 16, 2017

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Accident Recovery Clinic of Utah, LLC

  • Surgery Physician
  • Lindon, UT
  • NPI 1851155857
  NPD Authorized official
• Accident Recovery Clinic, LLC

  • Surgery Physician
  • Meridian, ID
  • NPI 1346915428
  NPD Authorized official
• Aspen Central Laboratory

  • Clinical Medical Laboratory
  • Orem, UT
  • NPI 1649537325
  Authorized official Same address or phone
• Aspen Clinical Research, LLC

  • Research Clinic/Center
  • Orem, UT
  • NPI 1518266501
  Authorized official Same address or phone
• Kensington Services, LLC

  dba Kensington Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Orem, UT
  • NPI 1962460675
  Authorized official Same address or phone
• Bee Hive Skilled Care Home LLC

  • Skilled Nursing Facility
  • Orem, UT
  • NPI 1619979986
  NPD (past)

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1467978064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 W 1100 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629647",
            "telephone_number": "801-318-8869",
            "fax_number": "801-224-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S 1680 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840584939",
            "telephone_number": "801-342-5409",
            "fax_number": "801-224-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4604 N Penngrove Way # 100",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836467442",
            "country_code": "US",
            "telephone_number": "801-318-8869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWE",
        "first_name": "IAN",
        "middle_name": "MATTHEW",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "177817-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO APRN-CNP",
            "identifier": "70178",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005394",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenzi Davis
• Rachel Leah Davis
• Shyanne Davis
• Sydney Davis
• Whitney Davis
• Madison Rose Day
• Carson Y Dayley
• Victoria Ferreira De Arruda
• Jose Luis De la Torre II
• Giullia Andreotta Leite De Sousa

• Family Nurse Practitioner in Orem, UT
• Providers in Orem, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.