Individual provider Active NPI

Darrin Jon Cottle, PA-C

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1720413974
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7428364-1206 Issued in UT
Practice address
565 S Komas Dr
Salt Lake City, UT 84108-1208
Phone
(801) 584-5144
Fax
(801) 584-5206
NPI assigned
Sep 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7428364-1206 UT Primary
Medical Physician Assistant 363AM0700X 7428364-8906 UT
Registered Dietitian 133V00000X 7428364-4901 UT

Addresses

Primary practice location

565 S Komas Dr
Salt Lake City, UT 84108-1208

Mailing address

565 S Komas Dr
Salt Lake City, UT 84108-1208
Phone (801) 584-5144

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260423000253 UT Order and Referring Only - General PracticePractitioner - General Practice 6709353113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7428364-4901UTMDRegistered Dietitian
7428364-1206UTMDPhysician Assistant
7428364-8906UTMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: dcottle45944@direct.med.utah.edu

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1720413974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 S KOMAS DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081208",
            "telephone_number": "801-584-5144",
            "fax_number": "801-584-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 S KOMAS DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081208",
            "telephone_number": "801-584-5144",
            "fax_number": "801-584-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTLE",
        "first_name": "DARRIN",
        "middle_name": "JON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-06",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7428364-1206",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "7428364-8906",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "7428364-4901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.