Individual provider Active NPI

David Hugh Lodzins, MS CCCA

  • Audiologist
  • SLC, UT
National Provider Identifier
1912160714
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
49862914101 Issued in UT
Practice address
4000 S 700 E
Ste 10
SLC, UT 84107-2580
Phone
(801) 268-4141
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 49862914101 UT Primary

Addresses

Primary practice location

4000 S 700 E
Ste 10
SLC, UT 84107-2580

Mailing address

4000 S 700 E
Ste 10
SLC, UT 84107-2580
Phone (801) 268-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000487 UT Practitioner - Qualified Audiologist 0143398867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Utah School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Professional Association ServicesGroup PAC ID 8921053349, 18 clinicians

Practice addresses (Care Compare)

4000 S 700
Suite 10
Salt Lake City, UT 84107-2580
Phone (801) 268-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
49862914101UTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Professional Association Services CurrentSince Jan 1, 2018 Accepting new patients

Locations

4000 S 7th E
Ste 10
Salt Lake Cty, UT 84107
Phone (801) 268-4141

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1912160714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S 700 E",
            "address_2": "STE 10",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841072580",
            "telephone_number": "801-268-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S 700 E",
            "address_2": "STE 10",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841072580",
            "telephone_number": "801-268-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODZINS",
        "first_name": "DAVID",
        "middle_name": "HUGH",
        "name_prefix": "Mr.",
        "credential": "MS CCCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "49862914101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.