Active NPI
Richard Joseph Hauley Jr., DMD
- General Practice Dentistry
- Salt Lake City, UT
National Provider Identifier
1891799201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22-135745-9922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104000784 | UT | Order and Referring Only - Dentist | 1355641648 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-135745-9922 | UT | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.