NPIMap

Organization Active NPI

McDonough Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salt Lake City, UT
National Provider Identifier
1740636570
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6740566-9922 Issued in UT
Legal business name
MCDONOUGH ORTHODONTICS
Practice address
6070 S 1300 E
Suite 202
Salt Lake City, UT 84121-6722
Phone
(801) 266-2662
Fax
(801) 268-2009
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Dr. David Roy McDonough, DDS, MSDNPI 1437317146
Title
Owner
Phone
(801) 266-2662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 6740566-9922 UT Primary

Addresses

Primary practice location

6070 S 1300 E
Suite 202
Salt Lake City, UT 84121-6722

Mailing address

6070 S 1300 E
Suite 202
Salt Lake City, UT 84121-6722
Phone (801) 266-2662

National Provider Directory

National Provider Directory

Locations

6070 S 1300 E
Ste 202
Murray, UT 84121
Phone (801) 266-2662

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1740636570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 S 1300 E",
            "address_2": "SUITE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216722",
            "telephone_number": "801-266-2662",
            "fax_number": "801-268-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S 1300 E",
            "address_2": "SUITE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216722",
            "telephone_number": "801-266-2662",
            "fax_number": "801-268-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-266-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "6740566-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.