Individual provider Active NPI

Levi Taylor, D.D.S.

  • Dental Anesthesiology
  • Kaysville, UT
National Provider Identifier
1851846406
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
9899249-9924 Issued in UT
Practice address
1126 Kings CT
Kaysville, UT 84037-9548
Phone
(801) 201-3037
NPI assigned
Aug 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 9899249-9924 UT Primary

Addresses

Primary practice location

1126 Kings CT
Kaysville, UT 84037-9548

Mailing address

1126 Kings CT
Kaysville, UT 84037-9548
Phone (801) 201-3037

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
I20210309002425 UT Practitioner - DentistPractitioner - Anesthesiology 9739595190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9899249-9924UTMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Surgical Suite CurrentSince Nov 30, 2020 Accepting new patients
Family Surgical Suite CurrentSince Nov 30, 2020 Accepting new patients

Locations

151 E 5600 S
Ste 100
Salt Lake City, UT 84107
Phone (801) 833-0449

151 E 5600 S
Ste 104
Salt Lake Cty, UT 84107
Phone (801) 816-0332

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1851846406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 KINGS CT",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840379548",
            "telephone_number": "801-201-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 KINGS CT",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840379548",
            "telephone_number": "801-201-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LEVI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "UT",
            "license": "9899249-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.