Individual provider Active NPI

Kenneth N Buchi, MD

  • Gastroenterology Physician
  • West Jordan, UT
National Provider Identifier
1518985696
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
791639761205 Issued in UT
Practice address
3584 W 9000 S Ste 300
West Jordan, UT 84088-5711
Phone
(801) 233-8233
Fax
(801) 565-3663
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 791639761205 UT Primary

Addresses

Primary practice location

3584 W 9000 S Ste 300
West Jordan, UT 84088-5711

Mailing address

3584 W 9000 S Ste 300
West Jordan, UT 84088-5711
Phone (801) 233-8233

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
791639761205UTMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1518985696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S STE 300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885711",
            "telephone_number": "801-233-8233",
            "fax_number": "801-565-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S STE 300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885711",
            "telephone_number": "801-233-8233",
            "fax_number": "801-565-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHI",
        "first_name": "KENNETH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "791639761205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.