Individual provider Active NPI

Steven D. Parkin, DDS

  • Dentist
  • Salt Lake City, UT
National Provider Identifier
1710031455
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
143749 Issued in UT
Practice address
999 Murray Holladay Rd
Suite 203
Salt Lake City, UT 84117-4919
Phone
(801) 266-1407
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 143749 UT Primary

Addresses

Primary practice location

999 Murray Holladay Rd
Suite 203
Salt Lake City, UT 84117-4919

Mailing address

999 E Murray Holladay Rd Ste 203
Salt Lake City, UT 84117-5085
Phone (801) 266-1407

Other names 1

  • Dr. Steven Dean Parkin Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229000666 UT Practitioner - Oral Surgery 0446577167 Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
143749UTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1710031455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E MURRAY HOLLADAY RD STE 203",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175085",
            "telephone_number": "801-266-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 MURRAY HOLLADAY RD",
            "address_2": "SUITE 203",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174919",
            "telephone_number": "801-266-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKIN",
        "first_name": "STEVEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "143749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "PARKIN",
            "middle_name": "DEAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.