Individual provider Active NPI

Robert Shigeru Kiyomura, M.D.

  • Gastroenterology Physician
  • Layton, UT
National Provider Identifier
1922113380
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
163317-1205 Issued in UT
Practice address
2084 Robins Dr
Suite B
Layton, UT 84041-1100
Phone
(801) 773-9710
Fax
(801) 773-9944
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 163317-1205 UT Primary

Addresses

Primary practice location

2084 Robins Dr
Suite B
Layton, UT 84041-1100

Mailing address

2084 Robins Dr
Suite B
Layton, UT 84041-1100
Phone (801) 773-9710

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Hospital & Medical Center LP PastSince Sep 13, 2005 Accepting new patients

Organizations & group practices 2

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922113380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 ROBINS DR",
            "address_2": "SUITE B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411100",
            "telephone_number": "801-773-9710",
            "fax_number": "801-773-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 ROBINS DR",
            "address_2": "SUITE B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411100",
            "telephone_number": "801-773-9710",
            "fax_number": "801-773-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIYOMURA",
        "first_name": "ROBERT",
        "middle_name": "SHIGERU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "163317-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.