Michael S Tornow, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

50156499924 Issued in UT

Practice address

4342 E Pony Express Pkwy
Eagle Mountain, UT 84005-5773

Phone

(505) 947-4253

Fax

(385) 449-9948

NPI assigned

Oct 12, 2005

Last updated

Jul 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: soundsleepsolutions@c9sc-nm.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pony Express Dental of Draper, LLC

  • Dental Clinic/Center
  • Draper, UT
  • NPI 1306380084
  Authorized official Same address or phone
• Cloud 9 Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Farmington, NM
  • NPI 1528400199
  NPD (past) Authorized official

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1659369700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 E PONY EXPRESS PKWY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055773",
            "telephone_number": "505-947-4253",
            "fax_number": "385-449-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 E PONY EXPRESS PKWY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055773",
            "telephone_number": "505-947-4253",
            "fax_number": "385-449-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNOW",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "50156499924",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201438729",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koko Tiatia
• Shellena Tietjen, LMT
• Adriana Rose Timothy
• Brooke Marie Timothy, DPT
• Sarah Davis Toolson, M.S.
• Devin Tranter, D.P.M.
• Triumph Counseling Services LLC
• Jefferson Wolfram Turner, CSW
• Utah Addiction Centers
• Utah Addiction Centers

• Dentist in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.