Individual provider Active NPI

David Michael Nord, PAC

  • Physician Assistant
  • Tooele, UT
National Provider Identifier
1932734753
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14272357-1206 Issued in UT
Practice address
1209 N Main St Unit B
Tooele, UT 84074-9841
Phone
(435) 775-8086
Fax
(435) 775-2087
NPI assigned
Mar 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14272357-1206 UT Primary

Addresses

Primary practice location

1209 N Main St Unit B
Tooele, UT 84074-9841

Mailing address

96 E Kimballs LN Ste 408
Draper, UT 84020-5021
Phone (435) 775-2086

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325001258 UT Practitioner - Physician Assistant 4981102274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olathe Community Clinic IncGroup PAC ID 5395998744, shared by 3 NPIs, 23 clinicians
Advanced Spine and Pain PLLCGroup PAC ID 4183966278, 9 clinicians

Practice addresses (Care Compare)

1010 S Rio Grande Ave
Montrose, CO 81401-4831
Phone (970) 497-3333

1250 Valley View Dr
Delta, CO 81416-3138
Phone (970) 874-8981

96 E Kimballs LN
Suite 408
Draper, UT 84020-5021
Phone (801) 572-1186

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Community Clinic Inc Current Accepting new patients
Olathe Community Clinic Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

1250 Valley View Dr
Delta, CO 81416
Phone (970) 874-8981

1010 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 497-3333

Interoperability endpoints

  • Direct secure messaging: david.nord.1@19850.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1932734753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 E KIMBALLS LN STE 408",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205021",
            "telephone_number": "435-775-2086",
            "fax_number": "435-775-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N MAIN ST UNIT B",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749841",
            "telephone_number": "435-775-8086",
            "fax_number": "435-775-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORD",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14272357-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.