Active NPI
Christopher James Dorny, D.M.D.
- General Practice Dentistry
- Ogden, UT
National Provider Identifier
1558642355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8018734-9922
- Practice address
- 1770 Combe Rd Ste 4
Ogden, UT 84403-5067 - Phone
- (801) 626-0996
- NPI assigned
- Sep 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 8018734-9922 | UT | Primary |
Addresses
Primary practice location
1770 Combe Rd Ste 4
Ogden, UT 84403-5067
Mailing address
1770 Combe Rd Ste 4
Ogden, UT 84403-5067
Phone (801) 626-0996
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150605002286 | UT | Order and Referring Only - Other (Non-Physician) | 3173844859 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8018734-9922 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1558642355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 COMBE RD STE 4",
"city": "OGDEN",
"state": "UT",
"postal_code": "844035067",
"telephone_number": "801-626-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 COMBE RD STE 4",
"city": "OGDEN",
"state": "UT",
"postal_code": "844035067",
"telephone_number": "801-626-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNY",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-07",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "8018734-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.