Individual provider Active NPI

Randy N. Downing, DDS

  • General Practice Dentistry
  • Murray, UT
National Provider Identifier
1609020478
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
142072 Issued in UT
Practice address
6095 S Fashion Blvd Ste 200
Murray, UT 84107-7395
Phone
(801) 262-4662
NPI assigned
Nov 6, 2008
Reactivated
Oct 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 142072 UT Primary

Addresses

Primary practice location

6095 S Fashion Blvd Ste 200
Murray, UT 84107-7395

Mailing address

10970 S Secret View Dr
Sandy, UT 84092-4949
Phone (801) 262-4662

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

State licenses

LicenseStateTypeSpecialty
142072UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vortex LLC CurrentSince Sep 27, 2020 Accepting new patients
Mwh02 LLC General Practice PastSince Nov 3, 2024 Accepting new patients

Locations

6095 S Fashion Blvd
Ste 200
Murray, UT 84107
Phone (801) 262-4662

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1609020478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10970 S SECRET VIEW DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924949",
            "telephone_number": "801-262-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 S FASHION BLVD STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077395",
            "telephone_number": "801-262-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNING",
        "first_name": "RANDY",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2015-03-30",
        "deactivation_date": "2009-03-17",
        "reactivation_date": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.