Individual provider Active NPI

Dennis Tucker Harston, M.D.

  • Family Medicine Physician
  • South Jordan, UT
National Provider Identifier
1881860229
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1604401205 Issued in UT
Practice address
10421 S Jordan Gtwy Ste 400
South Jordan, UT 84095-3918
Phone
(801) 933-3522
Fax
(801) 933-3017
NPI assigned
May 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1604401205 UT Primary

Addresses

Primary practice location

10421 S Jordan Gtwy Ste 400
South Jordan, UT 84095-3918

Mailing address

10421 S Jordan Gtwy Ste 400
South Jordan, UT 84095-3918
Phone (801) 933-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1604401205UTMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1881860229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 S JORDAN GTWY STE 400",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953918",
            "telephone_number": "801-933-3522",
            "fax_number": "801-933-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 S JORDAN GTWY STE 400",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953918",
            "telephone_number": "801-933-3522",
            "fax_number": "801-933-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSTON",
        "first_name": "DENNIS",
        "middle_name": "TUCKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1604401205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.