Keith D. Sonntag, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

952942359922 Issued in UT

Practice address

2180 E 4500 S
Suite #280
Salt Lake City, UT 84117-4434

Phone

(801) 274-6900

Fax

(801) 274-6903

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881731487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S",
            "address_2": "SUITE #280",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174434",
            "telephone_number": "801-274-6900",
            "fax_number": "801-274-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S",
            "address_2": "SUITE #280",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174434",
            "telephone_number": "801-274-6900",
            "fax_number": "801-274-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNTAG",
        "first_name": "KEITH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "952942359922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn L. Songer, MD
• Poonam Soni, MD
• David Sonneborn
• Tayva Sonnefeld, DPT
• Christopher Scott Sonntag
• Sonovis Therapy Inc
• Richard D Sontheimer, MD
• Nathan C. Sontum, PA-C
• Jennifer Soo
• Anna Soper

• Endodontics in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Endodontics in Utah

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.