Active NPI
David Paul Jubelirer, M.D.
- Pediatrics Physician
- Murray, UT
National Provider Identifier
1487634960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5755581-1205
- Practice address
- 6065 S Fashion Blvd
Suite 255
Murray, UT 84107 - Phone
- (801) 467-4210
- Fax
- (801) 467-2702
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5755581-1205 | UT | Primary |
Addresses
Primary practice location
6065 S Fashion Blvd
Suite 255
Murray, UT 84107
Mailing address
6065 S Fashion Blvd
Suite 255
Murray, UT 84107
Phone (801) 467-2702
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5755581-1205 | UT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1487634960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 S FASHION BLVD",
"address_2": "SUITE 255",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-467-2702",
"fax_number": "801-467-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 S FASHION BLVD",
"address_2": "SUITE 255",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-467-4210",
"fax_number": "801-467-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUBELIRER",
"first_name": "DAVID",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "5755581-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.