Douglas Collin Ogden, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

277019-9922 Issued in UT

Practice address

308 N 200 W
75-4
Roosevelt, UT 84066-2324

Phone

(435) 725-1200

NPI assigned

Sep 23, 2006

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1982704672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W 200 N",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662834",
            "telephone_number": "435-352-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N 200 W",
            "address_2": "75-4",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662324",
            "telephone_number": "435-725-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "DOUGLAS",
        "middle_name": "COLLIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "277019-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeastern Utah Medical Group
• Northeastern Utah Medical Group
• Northeastern Utah Medical Group
• Novo Ranch LLC
• Christopher Timbrell Oborn, MS, LCMHC, CCT-P,NCC
• Canela F Oldroyd
• Raeleen Orme, APRN
• Bryce S Pace
• Gregory George Page, DDS
• Jeremy M Patton

• General Practice Dentistry in Roosevelt, UT
• Providers in Roosevelt, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.

Verify at the official NPI Registry.