Individual provider Active NPI

Dean Reo Mackley

  • Registered Dietitian
  • North Salt Lake, UT
National Provider Identifier
1487567285
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
12347159-4901 Issued in UT
Practice address
874 N Skipton Dr
North Salt Lake, UT 84054-5031
Phone
(385) 427-5366
NPI assigned
Sep 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 12347159-4901 UT Primary

Addresses

Primary practice location

874 N Skipton Dr
North Salt Lake, UT 84054-5031

Mailing address

874 N Skipton Dr
North Salt Lake, UT 84054-5031
Phone (385) 427-5366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1487567285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 N SKIPTON DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840545031",
            "telephone_number": "385-427-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 N SKIPTON DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840545031",
            "telephone_number": "385-427-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLEY",
        "first_name": "DEAN",
        "middle_name": "REO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "12347159-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.