Individual provider Active NPI

Sean Richard Ulm, DMD

  • General Practice Dentistry
  • Lindon, UT
National Provider Identifier
1609082023
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3672639922 Issued in UT
Practice address
389 West 600 North
Lindon, UT 84042
Phone
(801) 796-6882
Fax
(801) 785-2007
NPI assigned
May 15, 2007
Last updated
Jan 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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 3672639922 UT Primary

Addresses

Primary practice location

389 West 600 North
Lindon, UT 84042

Mailing address

389 West 600 North
Lindon, UT 84042
Phone (801) 796-6882

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
3672639922UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1609082023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 WEST 600 NORTH",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "84042",
            "telephone_number": "801-796-6882",
            "fax_number": "801-785-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 WEST 600 NORTH",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "84042",
            "telephone_number": "801-796-6882",
            "fax_number": "801-785-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULM",
        "first_name": "SEAN",
        "middle_name": "RICHARD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "3672639922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindon, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.