Active NPI
Patrick T Perkins
- General Practice Dentistry
- Syracuse, UT
National Provider Identifier
1508501545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13346702-9922
- Practice address
- 1662 S 2000 W Ste A1
Syracuse, UT 84075-7145 - Phone
- (585) 275-5051
- NPI assigned
- May 4, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13346702-9922 | UT | Primary |
Addresses
Primary practice location
1662 S 2000 W Ste A1
Syracuse, UT 84075-7145
Mailing address
2278 Spring Hollow Rd
Francis, UT 84036-9610
Phone (385) 290-9156
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13346702-9922 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1508501545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2278 SPRING HOLLOW RD",
"city": "FRANCIS",
"state": "UT",
"postal_code": "840369610",
"telephone_number": "385-290-9156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1662 S 2000 W STE A1",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840757145",
"telephone_number": "585-275-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "PATRICK",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-04",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "13346702-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.