DR. DEREK CHRISTOPHER FUNK D.D.S.
NPI 1558675512
Dentist - General Practice in Salt Lake City, UT

Active since August 02, 2010PECOS Enrolled
1345 E 3900 S, SUITE 108, SALT LAKE CITY, UT 84124(801) 274-3768(801) 273-9768 Get Directions Write a Review

NPPES record last updated: June 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Derek Christopher Funk D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK CHRISTOPHER FUNK D.D.S. (NPI 1558675512) is an individual general practice provider in Salt Lake City, Utah, licensed in Texas (31378) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558675512
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEREK CHRISTOPHER FUNKCredential: D.D.S.
Location Address1345 E 3900 S, SUITE 108Salt Lake City, UT 84124-1474
Mailing Address303 N Mckinney St, Suite ASweeny, TX 77480 · (979) 548-2184
Fax(801) 273-9768
Sole ProprietorYes
Enumeration DateAugust 2, 2010
Last NPPES UpdateJune 30, 2017
NPI 1558675512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TX · 31378 Licensed in UT · 7702857-9921
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1345 E 3900 S, Salt Lake City, UT 84124

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Derek Christopher Funk D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1345 E 3900 S, # 210
SALT LAKE CITY, UT 84124
Dentist (General Practice)
1345 E 3900 S
SLC, UT 84124
Dentist (General Practice)
1345 E 3900 S, 108
SALT LAKE CITY, UT 84124
Dentist (General Practice)
1345 E 3900 S, #116
SALT LAKE CITY, UT 84124
Dentist (Orthodontics and Dentofacial Orthopedics)
1345 E 3900 S, SUITE 202
SALT LAKE CITY, UT 84124
Dentist (Prosthodontics)
1345 E 3900 S, SUITE 212
SALT LAKE CITY, UT 84124
Dentist (Orthodontics and Dentofacial Orthopedics)
1345 E 3900 S, STE 202
SALT LAKE CITY, UT 84124
Dentist
1345 E 3900 S, STE 210
SALT LAKE CITY, UT 84124

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 Derek Funk's NPI number?

The NPI number for Derek Funk is 1558675512. It was assigned to this individual provider in the NPPES registry on August 2, 2010.

Where is Derek Funk located?

Derek Funk practices at 1345 E 3900 S Suite 108, Salt Lake City, UT 84124. The listed phone number is (801) 274-3768.

What is Derek Funk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Derek Funk enrolled in Medicare?

Yes. Derek Funk is registered in the Medicare PECOS enrollment system.

What insurance does Derek Funk accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Derek Funk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Funk was last updated on June 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.