Individual provider Active NPI

Dan Aguila Utrera

  • Marriage & Family Therapist
  • Chandler, AZ
National Provider Identifier
1902108954
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 10168 Issued in AZ
Practice address
290 S Cooper Rd
Chandler, AZ 85225-5897
Phone
(480) 812-7167
NPI assigned
Nov 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 10168 AZ Primary

Addresses

Primary practice location

290 S Cooper Rd
Chandler, AZ 85225-5897

Mailing address

1835 E Guadalupe Rd
#103
Tempe, AZ 85283-3277
Phone (480) 456-0942

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

State licenses

LicenseStateTypeSpecialty
LMFT 10168AZMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1902108954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 E GUADALUPE RD",
            "address_2": "#103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833277",
            "telephone_number": "480-456-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S COOPER RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852255897",
            "telephone_number": "480-812-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTRERA",
        "first_name": "DAN",
        "middle_name": "AGUILA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT 10168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.