Individual provider Active NPI

Curtis C Bevan, D.D.S.

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1801938196
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
144328-9922 Issued in UT
Practice address
4046 Highland Dr
Suite 113
Salt Lake City, UT 84124-1673
Phone
(801) 272-3690
Fax
(801) 272-0800
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 144328-9922 UT Primary

Addresses

Primary practice location

4046 Highland Dr
Suite 113
Salt Lake City, UT 84124-1673

Mailing address

4046 Highland Dr
Suite 113
Salt Lake City, UT 84124-1673
Phone (801) 272-3690

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
144328-9922UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801938196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 HIGHLAND DR",
            "address_2": "SUITE 113",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241673",
            "telephone_number": "801-272-3690",
            "fax_number": "801-272-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4046 HIGHLAND DR",
            "address_2": "SUITE 113",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241673",
            "telephone_number": "801-272-3690",
            "fax_number": "801-272-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVAN",
        "first_name": "CURTIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "144328-9922",
            "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 Jul 8, 2007; 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.