Active NPI
Stuart Lindsay, DDS
- Dentist
- South Jordan, UT
National Provider Identifier
1912090804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6244643
- Practice address
- 3672 W South Jordan Pkwy
Suite D104
South Jordan, UT 84095-7171 - Phone
- (801) 599-2480
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6244643 | UT | Primary |
Addresses
Primary practice location
3672 W South Jordan Pkwy
Suite D104
South Jordan, UT 84095-7171
Mailing address
1945 S 1300 E
Apt #20
Salt Lake City, UT 84105-3642
Phone (801) 599-2480
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6244643 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1912090804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 S 1300 E",
"address_2": "APT #20",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841053642",
"telephone_number": "801-599-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3672 W SOUTH JORDAN PKWY",
"address_2": "SUITE D104",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840957171",
"telephone_number": "801-599-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSAY",
"first_name": "STUART",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "6244643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.