NPIMap

Organization Active NPI

Care Anesthesia

  • Dental Anesthesiology
  • Salt Lake City, UT
National Provider Identifier
1972248557
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
CARE ANESTHESIA
Practice address
151 E 5600 S FL 1
Salt Lake City, UT 84107-6181
Phone
(801) 631-1312
NPI assigned
Apr 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Dr. Mitchell Douglas Duckworth, DDSNPI 1649530601
Title
Owner
Phone
(801) 631-1312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AnesthesiologyGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0004X Primary

Addresses

Primary practice location

151 E 5600 S FL 1
Salt Lake City, UT 84107-6181

Mailing address

4942 S Cottonwood LN
Holladay, UT 84117-6256
Phone (801) 631-1312

Other names 1

  • Summit Anesthesia Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Drduckworth@summitanesthesia.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Care Anesthesia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 E 5600 S
Fl 1
Salt Lake City, UT 84107
Phone (801) 631-1312

Interoperability endpoints

  • Direct secure messaging: drduckworth@summitanesthesia.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1972248557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 S COTTONWOOD LN",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841176256",
            "telephone_number": "801-631-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 5600 S FL 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076181",
            "telephone_number": "801-631-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "DUCKWORTH",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-631-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Drduckworth@summitanesthesia.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "151 E 5600 S Fl 1",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841076181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Summit Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.