Active NPI
James Dale Utt, DO
- Family Medicine Physician
- Grand Junction, CO
National Provider Identifier
1902807993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22570
- Practice address
- 2503 Foresight Cir
Grand Junction, CO 81505-1139 - Phone
- (970) 242-2660
- Fax
- (970) 242-0080
- NPI assigned
- Aug 2, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22570 | CO | Primary |
Addresses
Primary practice location
2503 Foresight Cir
Grand Junction, CO 81505-1139
Mailing address
2503 Foresight Cir
Grand Junction, CO 81505-1139
Phone (970) 242-2660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01225705 | Medicaid | CO | |
| 22570 | Other | CO | COLORADO MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22570 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1902807993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 FORESIGHT CIR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051139",
"telephone_number": "970-242-2660",
"fax_number": "970-242-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 FORESIGHT CIR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051139",
"telephone_number": "970-242-2660",
"fax_number": "970-242-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTT",
"first_name": "JAMES",
"middle_name": "DALE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "22570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01225705",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO MEDICAL LICENSE",
"identifier": "22570",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.