Active NPI
D Barton Avery, MD
- Family Medicine Physician
- Smithfield, UT
National Provider Identifier
1780698316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1807601205
- Practice address
- 502 S Main St
Smithfield, UT 84335-2314 - Phone
- (435) 563-3222
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1807601205 | UT | Primary |
Addresses
Primary practice location
502 S Main St
Smithfield, UT 84335-2314
Mailing address
502 S Main St
Smithfield, UT 84335-2314
Phone (435) 563-3222
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1807601205 | UT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1780698316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 S MAIN ST",
"city": "SMITHFIELD",
"state": "UT",
"postal_code": "843352314",
"telephone_number": "435-563-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S MAIN ST",
"city": "SMITHFIELD",
"state": "UT",
"postal_code": "843352314",
"telephone_number": "435-563-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "D",
"middle_name": "BARTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "1807601205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.