DANIEL B. VINE MD PC NPI 1699075895

NPI Information

  • NPI: 1699075895
  • Provider Name: DANIEL B. VINE, MD, PC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 3980 S 700 E
    #23
    SALT LAKE CITY, UT
    ZIP 84107
  • Phone: (801) 288-1115

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NPI Details

DANIEL B. VINE, MD, PC is a community health clinic center in Salt Lake City, UT. DANIEL B. VINE, MD, PC NPI is 1699075895. The provider is registered as an organization entity type.

The provider's business location address is:

3980 S 700 E
#23
SALT LAKE CITY, UT
ZIP 84107-188
Phone: (801) 288-1115
Fax: (801) 288-1116

The provider's authorized official is Daniel B Vine .
The authorized official title is Md and has the following contact phone number (801) 288-1115.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 10/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity Health171413-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1527270415025MEDICAIDUTAH
2F26760MEDICARE UPINUTAH
3000010474MEDICARE PINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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