Individual provider Active NPI

Daren Fred Gehring, DDS

  • Pediatric Dentistry
  • Logan, UT
National Provider Identifier
1740341007
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2849469923 Issued in UT
Practice address
1624 N 200 E Ste 100
Logan, UT 84341-3141
Phone
(435) 752-4330
Fax
(435) 752-6330
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2849469923 UT Primary

Addresses

Primary practice location

1624 N 200 E Ste 100
Logan, UT 84341-3141

Mailing address

3297 N 1450 E
North Logan, UT 84341-6756
Phone (435) 753-3574

Other identifiers 2

IdentifierTypeStateIssuer
119125000MedicaidWY
806491800MedicaidID

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2849469923UTMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cache Valley Pediatric Dentistry CurrentSince Oct 8, 2023 Accepting new patients

Locations

1624 N 200 E
Ste 100
Logan, UT 84341
Phone (435) 752-4330

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1740341007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 N 1450 E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843416756",
            "telephone_number": "435-753-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 N 200 E STE 100",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843413141",
            "telephone_number": "435-752-4330",
            "fax_number": "435-752-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRING",
        "first_name": "DAREN",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "2849469923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119125000",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806491800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.