Richard Burton Sickelsmith, D.V.M.

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

5606688 - 2801 Issued in UT

Practice address

8576 S Redwood Rd
West Jordan, UT 84088-9313

Phone

(801) 561-9595

NPI assigned

Mar 31, 2013

Last updated

Mar 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364688000000",
    "number": "1700129582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 COTTAGE LOOP",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840988256",
            "telephone_number": "435-731-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8576 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889313",
            "telephone_number": "801-561-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKELSMITH",
        "first_name": "RICHARD",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-31",
        "last_updated": "2013-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "UT",
            "license": "5606688 - 2801",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "UT",
            "license": "5606688 - 8910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Veterinarian in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Veterinarian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2013; 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.