David Randall Daynes – General Practice Dentistry

Key facts

NPI: 1720189202
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 344831-9922 (UT)
Practice address: 155 S State St Ste a
Lindon, UT 84042-2031
Phone: (801) 785-5383
Fax: (801) 796-9370
NPI assigned: Sep 26, 2006
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
344831-9922	UT	MD	General Practice Dentistry

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	344831-9922	UT	Yes

Addresses

Primary practice location

155 S State St Ste a
Lindon, UT 84042-2031

Mailing address

155 S State St Ste a
Lindon, UT 84042-2031
Phone (801) 785-5383

Other identifiers

Identifier	Type	State	Issuer
20-2806440	Other	UT	TAX ID
46-1733553	Other	UT	TAX ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2019.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1720189202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S STATE ST STE A",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840422031",
            "telephone_number": "801-785-5383",
            "fax_number": "801-796-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S STATE ST STE A",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840422031",
            "telephone_number": "801-785-5383",
            "fax_number": "801-796-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYNES",
        "first_name": "DAVID",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "344831-9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-2806440",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "46-1733553",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindon, UT

All providers in Lindon, UT · General Practice Dentistry in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.