Laurence R Palmer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

144526 Issued in UT

Practice address

1245 Capitol St Ste 106-S
Ogden, UT 84401-2842

Phone

(801) 394-0401

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wasatch Dental Association, P.C.

  • Dental Clinic/Center
  • Ogden, UT
  • NPI 1639479488
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902921703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 REGENCY DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035061",
            "telephone_number": "801-479-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CAPITOL ST STE 106-S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012842",
            "telephone_number": "801-394-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "LAURENCE",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "144526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Palacio
• Kristie Ann Nelson Palfreyman, FNP - BC
• Bryan Seth Palmer, MD
• Carrie Ann Palmer, O.D.
• Kim Michaele Palmer, M.S. LPC
• Spencer Todd Palmer Sr.
• Kayla Lynn Panzarella I
• Tabitha Danette Panzeri, RDN, LD
• Paramount Medical Care, LLC
• Sneha Parikh, M.D.

• General Practice Dentistry in Ogden, UT
• Providers in Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.