DALTON LEE BRAATHEN
NPI 1184363384
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT
About Dalton Lee Braathen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALTON LEE BRAATHEN (NPI 1184363384) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dalton Lee Braathen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SLC, UT 84132
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dalton Braathen's NPI number?
The NPI number for Dalton Braathen is 1184363384. It was assigned to this individual provider in the NPPES registry on June 3, 2022.
Where is Dalton Braathen located?
Dalton Braathen practices at 30 N 1900 E, Salt Lake City, UT 84132. The listed phone number is (801) 581-7498.
What is Dalton Braathen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Dalton Braathen enrolled in Medicare?
Yes. Dalton Braathen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dalton Braathen was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dalton Lee Braathen · NPI 1184363384
Student in an Organized Health Care Education/Training Program provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since June 3, 2022.
## Identity
- **NPI:** 1184363384 (Entity type: Individual)
- **Enumerated:** June 3, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 30 N 1900 E, Salt Lake City, UT 84132-0006
- **Phone:** (801) 581-7498
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184363384) · Data from the CMS NPPES public registry.