Active NPI
Richard D Paxton, M.D.
- Pediatrics Physician
- Spanish Fork, UT
National Provider Identifier
1922046234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4813651-1205
- Practice address
- 325 W Center St
Spanish Fork, UT 84660-2060 - Phone
- (801) 798-7301
- Fax
- (801) 798-8513
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4813651-1205 | UT | Primary |
Addresses
Primary practice location
325 W Center St
Spanish Fork, UT 84660-2060
Mailing address
325 W Center St
Spanish Fork, UT 84660-2060
Phone (801) 798-7301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D4178 | Medicaid | UT |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4813651-1205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon View Medical Group LLC | Pediatrics | Current | Accepting new patients |
| Canyon View Medical Group LLC | Current | Accepting new patients | |
| Canyon View Medical Group LLC | Current | Accepting new patients | |
| Canyon View Medical Group LLC | Pediatrics | Past | Accepting new patients |
Locations
325 W Center St
Spanish Fork, UT 84660
Phone (801) 798-7301
Interoperability endpoints
- richard.paxton.p1@direct.canyonviewmed.nextgenshare.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Payson, UT
- NPI 1477709772
-
- Family Medicine Physician
- Salem, UT
- NPI 1225739857
-
- Pediatrics Physician
- Payson, UT
- NPI 1386836112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1922046234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W CENTER ST",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846602060",
"telephone_number": "801-798-7301",
"fax_number": "800-798-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W CENTER ST",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846602060",
"telephone_number": "801-798-7301",
"fax_number": "801-798-8513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAXTON",
"first_name": "RICHARD",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "4813651-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D4178",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spanish Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.