Individual provider Active NPI

Alan N Aoki, DDS

  • Dentist
  • Salt Lake City, UT
National Provider Identifier
1508961327
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
143784-9923 Issued in UT
Practice address
1365 W 1000 N
Salt Lake City, UT 84116-1654
Phone
(801) 328-5756
Fax
(801) 521-7463
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 143784-9923 UT Primary

Addresses

Primary practice location

1365 W 1000 N
Salt Lake City, UT 84116-1654

Mailing address

1756 Kenwood Cir
Salt Lake City, UT 84106-3745
Phone (801) 556-2324

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180313002221 UT Practitioner - Dentist 6103849799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
143784-9923UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Dentist CurrentSince Jan 6, 2018 Accepting new patients
Community Health Centers, Inc. Dentist CurrentSince Jan 6, 2018 Accepting new patients
Community Health Centers, Inc. Current Accepting new patients
Community Health Centers, Inc. Past Accepting new patients

Locations

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508961327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 KENWOOD CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063745",
            "telephone_number": "801-556-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 W 1000 N",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841161654",
            "telephone_number": "801-328-5756",
            "fax_number": "801-521-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AOKI",
        "first_name": "ALAN",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "143784-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.