Active NPI
Stephen D Haslam, DDS, PLLC
- General Practice Dentistry
- Murray, UT
National Provider Identifier
1821273673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 143673-9923
- Legal business name
- STEPHEN D HASLAM, DDS, PLLC
- Practice address
- 6065 Fashion Blvd
Suite 275
Murray, UT 84107-7381 - Phone
- (801) 262-4628
- Fax
- (801) 262-9260
- NPI assigned
- Dec 28, 2007
- Last updated
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Deaton Haslam, DDS
- Title
- Owner/Manager
- Phone
- (801) 262-4628
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 143673-9923 | UT | Primary |
Addresses
Primary practice location
6065 Fashion Blvd
Suite 275
Murray, UT 84107-7381
Mailing address
6065 Fashion Blvd
Suite 275
Murray, UT 84107-7381
Phone (801) 262-4628
Other names 1
- Stephen D Haslam, DDS
National Provider Directory
National Provider DirectoryLocations
6065 S Fashion Blvd
Ste 275
Murray, UT 84107
Phone (801) 262-4628
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Murray, UT
- NPI 1124147830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198800000000",
"number": "1821273673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 FASHION BLVD",
"address_2": "SUITE 275",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077381",
"telephone_number": "801-262-4628",
"fax_number": "801-262-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 FASHION BLVD",
"address_2": "SUITE 275",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077381",
"telephone_number": "801-262-4628",
"fax_number": "801-262-9260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN D HASLAM, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A",
"authorized_official_last_name": "HASLAM",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "DEATON",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "801-262-4628",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "143673-9923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stephen D Haslam, DDS",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.