Paul M Porter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7828837 Issued in UT

Practice address

215 S 1000 E Ste a
Salt Lake City, UT 84102-2486

Phone

(801) 328-4173

Fax

(801) 322-3995

NPI assigned

Jul 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Avenues Family Dentistry

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1093018111
  NPD (past) Authorized official

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292025600000",
    "number": "1881907475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S 1000 E STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022486",
            "telephone_number": "801-328-4173",
            "fax_number": "801-322-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S 1000 E STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022486",
            "telephone_number": "801-328-4173",
            "fax_number": "801-322-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7828837",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Porter, PHARMD
• Janesa Porter, DNP, CPNP AC/PC
• Jennifer Porter, MDA, RDN, CD, IBCLC
• Julie M. Porter, MD, PHD
• Mickayla Ashlee Porter
• Rebecca Porter, LPC
• Sara Porter
• Sherry Lee Porter
• Troy Flint Porter, MD
• Adrian Leonardo Portillo

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2010; 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.