Trevor Nichols Labrum, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

90531249922 Issued in UT

Practice address

2332 W 12600 S
Riverton, UT 84065-7161

Phone

(801) 253-4547

Fax

(801) 302-0814

NPI assigned

Jun 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trevor Labrum, DDS, PLLC

  • Dentist
  • Selah, WA
  • NPI 1659755346
  NPD (past) Authorized official

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1780098319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9965 S CITY LIGHTS CIR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959097",
            "telephone_number": "801-815-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 W 12600 S",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657161",
            "telephone_number": "801-253-4547",
            "fax_number": "801-302-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRUM",
        "first_name": "TREVOR",
        "middle_name": "NICHOLS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "90531249922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzi Lynn Knell
• Shaeleigh Jade Knell
• Evangeline Kobayashi, MD
• Joyce Elizabeth Koplin
• Garrett Kordsiemon, PA-C
• Jeanne Lajom, P.T.
• Bethany Christine Lambson, CNM
• Peter Demarcus Lambson, AMFT
• Andrea Lanao Roth-Roffy, DO
• Jeffrey Allen Langworthy, S.S.W.

• Dentist in Riverton, UT
• Providers in Riverton, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.