Active NPI
Thomas R Austad, DPM
- Podiatrist
- Roy, UT
National Provider Identifier
1710085261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1026230501
- Practice address
- 1885 West 4400 South
Roy, UT 84067 - Phone
- (801) 731-3833
- Fax
- (801) 731-4561
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1026230501 | UT | Primary |
Addresses
Primary practice location
1885 West 4400 South
Roy, UT 84067
Mailing address
1885 West 4400 South
Roy, UT 84067
Phone (801) 731-3833
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870341157 | Other | TAX ID | |
| 756480226 | Other | RR MEDICARE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202428800000",
"number": "1710085261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 WEST 4400 SOUTH",
"city": "ROY",
"state": "UT",
"postal_code": "84067",
"telephone_number": "801-731-3833",
"fax_number": "801-731-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 WEST 4400 SOUTH",
"city": "ROY",
"state": "UT",
"postal_code": "84067",
"telephone_number": "801-731-3833",
"fax_number": "801-731-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTAD",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "1026230501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "870341157",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "756480226",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Roy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.