Active NPI
Braxton T Dutson
- Social Worker
- Salt Lake City, UT
National Provider Identifier
1659650489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 607 E 200 S
Salt Lake City, UT 84102-2110 - Phone
- (801) 363-0203
- Fax
- (801) 359-3455
- NPI assigned
- Aug 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
607 E 200 S
Salt Lake City, UT 84102-2110
Mailing address
607 E 200 S
Salt Lake City, UT 84102-2110
Phone (801) 363-0203
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: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 18, 2025 through Apr 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1659650489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 E 200 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022110",
"telephone_number": "801-363-0203",
"fax_number": "801-359-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 E 200 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022110",
"telephone_number": "801-363-0203",
"fax_number": "801-359-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTSON",
"first_name": "BRAXTON",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"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 Aug 10, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.