Individual provider Active NPI

Richard Joseph Hauley Jr., DMD

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1891799201
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22-135745-9922 Issued in UT
Practice address
535 E 4500 S
Ste D280
Salt Lake City, UT 84107-2930
Phone
(801) 261-3775
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22-135745-9922 UT Primary

Addresses

Primary practice location

535 E 4500 S
Ste D280
Salt Lake City, UT 84107-2930

Mailing address

129W 3300 N
Lehi, UT 84043-3942
Phone (801) 440-2454

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160104000784 UT Order and Referring Only - DentistPractitioner - Dentist 1355641648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22-135745-9922UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891799201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129W 3300 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433942",
            "telephone_number": "801-440-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 4500 S",
            "address_2": "STE D280",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072930",
            "telephone_number": "801-261-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAULEY",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "22-135745-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.