Active NPI
Donald Allred
- Dentist
- Ft. Duchesne, UT
National Provider Identifier
1992955934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7021848-9922
- Practice address
- 6822 East 1000 South
Ft. Duchesne, UT 84026-0160 - Phone
- (435) 722-5122
- NPI assigned
- Sep 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7021848-9922 | UT | Primary |
Addresses
Primary practice location
6822 East 1000 South
Ft. Duchesne, UT 84026-0160
Mailing address
6822 East 1000 South
Ft. Duchesne, UT 84026-0160
Phone (435) 722-5122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152757858 | Other | UT | DRIVERS LICENSE NUMBER |
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 |
|---|---|---|---|
| 7021848-9922 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1992955934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6822 EAST 1000 SOUTH",
"city": "FT. DUCHESNE",
"state": "UT",
"postal_code": "840260160",
"telephone_number": "435-722-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6822 EAST 1000 SOUTH",
"city": "FT. DUCHESNE",
"state": "UT",
"postal_code": "840260160",
"telephone_number": "435-722-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "DONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "7021848-9922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE NUMBER",
"identifier": "152757858",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft. Duchesne, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.