Devon Duplain, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8334628-1206 Issued in UT

Practice address

11762 S State St Ste 110
Draper, UT 84020-7158

Phone

(801) 495-3539

NPI assigned

Jan 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SNP Medical Holdings LLC

  • Internal Medicine Physician
  • Salt Lake City, UT
  • NPI 1689346298
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1508373929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N PINNACLE LN",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454808",
            "telephone_number": "740-464-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 110",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207158",
            "telephone_number": "801-495-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLAIN",
        "first_name": "DEVON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8334628-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Michael Duford, PA-C
• Heather Lynn Duke, L.AC
• Joanna Duncan
• Jacob S Dunn, D.M.D., M.S.
• Jennifer Duong
• Joey Dutson, DDS
• Talon J Dutson
• Colden Dye
• Nicole Dyer, BSN, RN
• Kaitlin Earl, RDN

• Physician Assistant in Draper, UT
• Providers in Draper, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.