Individual provider Active NPI

David Thorup, DMD

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1659806487
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10421689-9921 Issued in UT
Practice address
1955 S 1300 E Ste L2
Salt Lake City, UT 84105-3675
Phone
(801) 828-0210
NPI assigned
Apr 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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 10421689-9921 UT Primary

Addresses

Primary practice location

1955 S 1300 E Ste L2
Salt Lake City, UT 84105-3675

Mailing address

1955 S 1300 E Ste L2
Salt Lake City, UT 84105-3675
Phone (801) 828-0210

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
10421689-9921UTMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: dthorup243971@direct.med.utah.edu

NPI Registry JSON

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1659806487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 S 1300 E STE L2",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053675",
            "telephone_number": "801-828-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 S 1300 E STE L2",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053675",
            "telephone_number": "801-828-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORUP",
        "first_name": "DAVID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-30",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "10421689-9921",
            "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 Mar 6, 2019; 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.