NPIMap

Individual provider Active NPI

Dennis R Hamp, D. O.

  • Family Medicine Physician
  • West Jordan, UT
National Provider Identifier
1568405397
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2757357-1204 Issued in UT
Practice address
3895 W 7800 S
Suite, 100
West Jordan, UT 84088-5617
Phone
(801) 280-7774
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2757357-1204 UT Primary

Addresses

Primary practice location

3895 W 7800 S
Suite, 100
West Jordan, UT 84088-5617

Mailing address

3895 W 7800 S
Suite, 100
West Jordan, UT 84088-5617
Phone (801) 280-7774

Other identifiers 1

IdentifierTypeStateIssuer
D3449MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000515 UT Practitioner - Family Practice 7517030646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jordan Landing Family Medicine LLCGroup PAC ID 5193825131, 3 clinicians

Practice addresses (Care Compare)

3895 W 7800
Suite 100
West Jordan, UT 84088-5616
Phone (801) 280-7774

Hospital & facility affiliations

  • Intermountain Homecare Home Health Salt Lake Home health agency, South Jordan, UT, CCN 467030
  • Valeo Home Health Home health agency, Murray, UT, CCN 467217
  • True North Home Health Home health agency, South Salt Lake, UT, CCN 467224
  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2757357-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Landing Family Medicine LLC Family Medicine CurrentSince Jul 14, 2008 Accepting new patients

Locations

3895 W 7800 S
Ste 100
West Jordan, UT 84088
Phone (801) 280-7774

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1568405397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 W 7800 S",
            "address_2": "SUITE, 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885617",
            "telephone_number": "801-280-7774",
            "fax_number": "801-748-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 W 7800 S",
            "address_2": "SUITE, 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885617",
            "telephone_number": "801-280-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMP",
        "first_name": "DENNIS",
        "middle_name": "R",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "2757357-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3449",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.