Individual provider Active NPI

Adam Read Taintor, M.D.

  • Dermatology Physician
  • Ogden, UT
National Provider Identifier
1851563779
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7890794-1205 Issued in UT
Practice address
3860 Jackson Ave Ste 2
Ogden, UT 84403
Phone
(801) 627-0515
Fax
(801) 627-0517
NPI assigned
Apr 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 7890794-1205 UT
Dermatopathology Physician 207ND0900X 7890794.1205 UT
Dermatology Physician 207N00000X 7890794-1205 UT Primary

Addresses

Primary practice location

3860 Jackson Ave Ste 2
Ogden, UT 84403

Mailing address

3860 Jackson Ave Ste 2
Ogden, UT 84403-1979
Phone (801) 627-0515

Other practice location 1

3860 Jackson Ave Ste 2
Ogden, UT 84403
Phone (801) 627-0515

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ataintor@atd.emadirect.md Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000009 UT Practitioner - Dermatology 3476724634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Utah School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

Practice addresses (Care Compare)

4650 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3482

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of skin lesions1441
Removal of nail tissue1-10
Removal or shaving of skin growth29
Skin biopsy250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7890794.1205UTMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC Dermatology CurrentSince Sep 15, 2023 Accepting new patients
Ogden Clinic PC Dermatology Current Accepting new patients

Locations

3860 Jackson Ave
Ste 2
Ogden, UT 84403
Phone (801) 627-0515

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

1100 W 2700 N
Pleasant View, UT 84404
Phone (801) 475-3600

1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550

6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

Organizations & group practices 2

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1851563779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 JACKSON AVE STE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031979",
            "telephone_number": "801-627-0515",
            "fax_number": "801-627-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 JACKSON AVE STE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-627-0515",
            "fax_number": "801-627-0517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 Jackson Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "84403",
            "country_code": "US",
            "telephone_number": "801-627-0515",
            "fax_number": "801-627-0517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAINTOR",
        "first_name": "ADAM",
        "middle_name": "READ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "7890794-1205",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "UT",
            "license": "7890794.1205",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "7890794-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ataintor@atd.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Adam Taintor Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3860 Jackson Ave Ste 2",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.