Active NPI
Richard M Garden, MD
- Public Health & General Preventive Medicine Physician
- Draper, UT
National Provider Identifier
1679732382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 2769081205
- Practice address
- 14425 Bitterbrush LN
Draper, UT 84020-9501 - Phone
- (801) 576-7058
- NPI assigned
- Jun 6, 2008
- Last updated
- Jun 6, 2008
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 2769081205 | UT | Primary |
Addresses
Primary practice location
14425 Bitterbrush LN
Draper, UT 84020-9501
Mailing address
14425 Bitterbrush LN
Draper, UT 84020-9501
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2769081205 | UT | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Utah, Department of Health | Past | Accepting new patients | |
| State of Utah | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Correctional Health Services (CHS)
- Prison Health Clinic/Center
- Salt Lake City, UT
- NPI 1770984379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1679732382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14425 BITTERBRUSH LN",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14425 BITTERBRUSH LN",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209501",
"telephone_number": "801-576-7058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDEN",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "UT",
"license": "2769081205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.