Individual provider Active NPI

Dylan Troy

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1669263190
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1234567 Issued in UT
Practice address
24 S 1100 E Ste 310
Salt Lake City, UT 84102-4507
Phone
(801) 328-1260
NPI assigned
May 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1234567 UT Primary

Addresses

Primary practice location

24 S 1100 E Ste 310
Salt Lake City, UT 84102-4507

Mailing address

2191 S McClelland St Apt 481
Salt Lake City, UT 84106-3398
Phone (203) 832-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260402002318 UT Practitioner - Nurse Practitioner 6204311640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Medical GroupGroup PAC ID 7416856109, 12 clinicians

Practice addresses (Care Compare)

24 S 1100
Suite 310
Salt Lake City, UT 84102-4507
Phone (801) 328-1260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1234567UTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Medical Group Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1669263190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 S MCCLELLAND ST APT 481",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063398",
            "telephone_number": "203-832-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 1100 E STE 310",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024507",
            "telephone_number": "801-328-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROY",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "1234567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.