Individual provider Active NPI

David E Butters, D.O.

  • Family Medicine Physician
  • Layton, UT
National Provider Identifier
1932272598
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6591024 Issued in UT
Practice address
1580 W Antelope Dr
200
Layton, UT 84041-1160
Phone
(801) 773-4770
Fax
(801) 773-4776
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6591024 UT
Family Medicine Physician 207Q00000X 6591024 UT Primary

Addresses

Primary practice location

1580 W Antelope Dr
200
Layton, UT 84041-1160

Mailing address

1580 W Antelope Dr
200
Layton, UT 84041-1160
Phone (801) 773-4770

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000521 UT Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7113011032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan Ridge Family Medicine LLCGroup PAC ID 8820091473, 10 clinicians

Practice addresses (Care Compare)

6321 S Redwood Rd
Suite 201
Taylorsville, UT 84123-6972
Phone (702) 480-2550

Hospital & facility affiliations

  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6591024UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Ridge Family Medicine LLC Family Medicine CurrentSince Jul 30, 2023 Accepting new patients
Jordan Ridge Family Medicine LLC CurrentSince Jul 30, 2023 Accepting new patients

Locations

1580 W Antelope Dr
Ste 200
Layton, UT 84041
Phone (801) 508-4327

6321 S Redwood Rd
Ste 201
Taylorsville, UT 84123
Phone (801) 265-2212

Interoperability endpoints

  • Direct secure messaging: dbutters113408@westdirect.optum.com
  • Direct secure messaging: davidbutters@wpfp.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932272598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR",
            "address_2": "200",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411160",
            "telephone_number": "801-773-4770",
            "fax_number": "801-773-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR",
            "address_2": "200",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411160",
            "telephone_number": "801-773-4770",
            "fax_number": "801-773-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERS",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "6591024",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "6591024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.