Individual provider Active NPI

Lawrence Clark Romney, DMD

  • Pediatric Dentistry
  • Salt Lake City, UT
National Provider Identifier
1598924078
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6331645-9922 Issued in UT
Practice address
525 E 100 S
#430
Salt Lake City, UT 84102-4210
Phone
(801) 355-8677
Fax
(801) 662-3908
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 6331645-9922 UT Primary

Addresses

Primary practice location

525 E 100 S
#430
Salt Lake City, UT 84102-4210

Mailing address

525 E 100 S
#430
Salt Lake City, UT 84102-4210
Phone (801) 355-8677

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6331645-9922UTMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1598924078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 100 S",
            "address_2": "#430",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024210",
            "telephone_number": "801-355-8677",
            "fax_number": "801-662-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 100 S",
            "address_2": "#430",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024210",
            "telephone_number": "801-355-8677",
            "fax_number": "801-662-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMNEY",
        "first_name": "LAWRENCE",
        "middle_name": "CLARK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "6331645-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.