Individual provider Active NPI

Richard W Elggren, DMD

  • Endodontics
  • Taylorsville, UT
National Provider Identifier
1831156371
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
133458 Issued in UT
Practice address
6287 S Redwood Rd
#203
Taylorsville, UT 84123
Phone
(801) 266-7393
Fax
(801) 266-0212
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 133458 UT Primary

Addresses

Primary practice location

6287 S Redwood Rd
#203
Taylorsville, UT 84123

Mailing address

6287 S Redwood Rd
#203
Taylorsville, UT 84123
Phone (801) 266-7393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708000707 UT Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1254643034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
133458UTMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard W Elggren DMD Inc Endodontics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: relggren297031@direct.med.utah.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831156371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD",
            "address_2": "#203",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84123",
            "telephone_number": "801-266-7393",
            "fax_number": "801-266-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD",
            "address_2": "#203",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84123",
            "telephone_number": "801-266-7393",
            "fax_number": "801-266-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGGREN",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "133458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.