Active NPI
Alison Marcellin
- Dental Hygienist
- Salt Lake City, UT
National Provider Identifier
1992531719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 112313719920
- Practice address
- 461 E Downington Ave
Salt Lake City, UT 84115-2209 - Phone
- (801) 641-0066
- NPI assigned
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 112313719920 | UT | Primary |
Addresses
Primary practice location
461 E Downington Ave
Salt Lake City, UT 84115-2209
Mailing address
461 E Downington Ave
Salt Lake City, UT 84115-2209
Phone (801) 641-0066
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112313719920 | UT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1992531719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 E DOWNINGTON AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841152209",
"telephone_number": "801-641-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 E DOWNINGTON AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841152209",
"telephone_number": "801-641-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELLIN",
"first_name": "ALISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "UT",
"license": "112313719920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.