Individual provider Active NPI

William P Kuentzel, M.D.

  • Psychiatry Physician
  • Salt Lake City, UT
National Provider Identifier
1649359217
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
159790-1205 Issued in UT
Practice address
515 S 700 E
Ste 3C
Salt Lake City, UT 84102-2801
Phone
(801) 521-9403
NPI assigned
Nov 3, 2006
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 159790-1205 UT Primary

Addresses

Primary practice location

515 S 700 E
Ste 3C
Salt Lake City, UT 84102-2801

Mailing address

515 S 700 E
Ste 3C
Salt Lake City, UT 84102-2801

Other identifiers 1

IdentifierTypeStateIssuer
159790-1205OtherUTMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 9, 2016 through Feb 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
159790-1205UTMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1649359217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 700 E",
            "address_2": "STE 3C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 700 E",
            "address_2": "STE 3C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022801",
            "telephone_number": "801-521-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENTZEL",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "159790-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "159790-1205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.