Travis Q. Talbot, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3084973-9921 Issued in UT

Practice address

2364 W 12600 S Ste 2C
Riverton, UT 84065-7110

Phone

(801) 446-7175

Fax

(801) 446-4227

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699827048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 W 12600 S STE 2C",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657110",
            "telephone_number": "801-446-7175",
            "fax_number": "801-446-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 W 12600 S STE 2C",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657110",
            "telephone_number": "801-446-7175",
            "fax_number": "801-446-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "TRAVIS",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "3084973-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Psychiatry and Wellness PLLC
• Bryan Alan Swapp, DO
• Sydney Ann Swenson, LCSW
• Shayla Dawn Tait
• Stacy Talbot
• Joel Tangaro
• C Scott Taylor, M.D.
• Denise Taylor
• Casey Telford, CM
• Terry Family Chiropractic, Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Riverton, UT
• Providers in Riverton, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.