Active NPI
Devin McCormick Link, D.D.S.
- Dentist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7411635-9921
- Practice address
- 1365 W 1000 N
Salt Lake City, UT 84116-1654 - Phone
- (801) 328-5750
- Fax
- (877) 497-4661
- NPI assigned
- Sep 15, 2008
- Last updated
- Sep 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DR60024842 | WA | |
| Dentist | 122300000X | 7411635-9921 | UT | Primary |
Addresses
Primary practice location
1365 W 1000 N
Salt Lake City, UT 84116-1654
Mailing address
220 W 7200 S
Suite a
Midvale, UT 84047-1043
Phone (801) 858-3461
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7411635-9921 | UT | MD | Dentist |
| DR60024842 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc. | Dentist | Current | Accepting new patients |
| Community Health Centers, Inc. | Current | Accepting new patients | |
| Community Health Centers, Inc. | Current | Accepting new patients |
Locations
980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191
220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494
1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750
1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360
4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214
1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986
2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614
Interoperability endpoints
- devin.link@chcsl.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/ACFCAA
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- West Valley City, UT
- NPI 1952505117
Dentist
-
dba 72nd Street Medical Clinic
- Federally Qualified Health Center (FQHC)
- Midvale, UT
- NPI 1073611364
-
dba Central City Medical Clinic
- Federally Qualified Health Center (FQHC)
- Salt Lake City, UT
- NPI 1316421761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1891944856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W 7200 S",
"address_2": "SUITE A",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471043",
"telephone_number": "801-858-3461",
"fax_number": "801-955-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 W 1000 N",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841161654",
"telephone_number": "801-328-5750",
"fax_number": "877-497-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINK",
"first_name": "DEVIN",
"middle_name": "MCCORMICK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DR60024842",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "7411635-9921",
"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 Sep 1, 2016; 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.