John Dwight Utley, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

9713 Issued in NV

Practice address

8551 W Lake Mead Blvd
Ste #230
Las Vegas, NV 89128-7642

Phone

(702) 243-7333

Fax

(702) 243-4800

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

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 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• John D. Utley, D.P.M. Professional Corporation

  • Podiatric Clinic/Center
  • Las Vegas, NV
  • NPI 1952610651

  8628199270

  Same PAC ID

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• John D. Utley, D.P.M. Professional Corporation

  • Podiatric Clinic/Center
  • Las Vegas, NV
  • NPI 1952610651
  Medicare reassignment NPD Authorized official
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Summerlin Hospital Medical Center L L C

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1508979048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 W LAKE MEAD BLVD",
            "address_2": "STE #230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287642",
            "telephone_number": "702-243-7333",
            "fax_number": "702-243-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 W LAKE MEAD BLVD",
            "address_2": "STE #230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287642",
            "telephone_number": "702-243-7333",
            "fax_number": "702-243-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTLEY",
        "first_name": "JOHN",
        "middle_name": "DWIGHT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "9713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1225390001",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102004",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usv Optical, Inc.
• Ute Geeb, MD, LTD
• Adam Utecht
• Christin Utley
• Jared David Utley, DDS
• Judy Utley
• Utnv Lakes Operator LLC
• Utopia Health and Wellness Medical Group
• Yenny Utria
• Pitofanua Utu

• Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.