Individual provider Active NPI

Trey Esplin, DDS

  • General Practice Dentistry
  • Price, UT
National Provider Identifier
1487034369
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11819259-9922 Issued in UT
Practice address
230 N Fairgrounds Rd
Price, UT 84501-4205
Phone
(435) 637-2100
NPI assigned
Jun 4, 2015
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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 11819259-9922 UT Primary

Addresses

Primary practice location

230 N Fairgrounds Rd
Price, UT 84501-4205

Mailing address

230 N Fairgrounds Rd
Price, UT 84501-4205
Phone (435) 704-1823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 14, 2024 through Mar 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11819259-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Vista Dental General Practice CurrentSince Aug 2, 2020 Accepting new patients
A Perfect Smile PastSince Aug 2, 2020 Accepting new patients
Kanab Dental Center Dentist Past Accepting new patients
Youth Health Associates, LLC Past Accepting new patients
Creek Valley Health Clinic Past Accepting new patients

Locations

230 N Fairgrounds Rd
Price, UT 84501
Phone (435) 637-2100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGHIBD

Organizations & group practices 5

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1487034369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N FAIRGROUNDS RD",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014205",
            "telephone_number": "435-704-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N FAIRGROUNDS RD",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014205",
            "telephone_number": "435-637-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPLIN",
        "first_name": "TREY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11819259-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.