NPIMap

Organization Active NPI

David R Masihdas Odpc

  • Optometrist
  • Salt Lake City, UT
National Provider Identifier
1639357593
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
110793934 Issued in UT
Legal business name
DAVID R MASIHDAS ODPC
Practice address
150 S 1000 E
Salt Lake City, UT 84102-1443
Phone
(801) 363-2851
Fax
(801) 363-7186
NPI assigned
Feb 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Dr. David R Masihdas, OD PC
Title
President/Owner
Phone
(801) 363-2851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 110793934 UT Primary

Addresses

Primary practice location

150 S 1000 E
Salt Lake City, UT 84102-1443

Mailing address

150 S 1000 E
Salt Lake City, UT 84102-1443
Phone (801) 363-2851

National Provider Directory

National Provider Directory

Locations

150 S 1000 E
Ste 100
Salt Lake Cty, UT 84102
Phone (801) 363-2851

NPI Registry JSON

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

{
    "created_epoch": "1201996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1639357593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 1000 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021443",
            "telephone_number": "801-363-2851",
            "fax_number": "801-363-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 1000 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021443",
            "telephone_number": "801-363-2851",
            "fax_number": "801-363-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R MASIHDAS ODPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-03",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "MASIHDAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "801-363-2851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD PC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "110793934",
            "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 Jun 18, 2020; 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.