1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Plastic Surgery
  6. NPI Profile

GRANT R FAIRBANKS MD PC
NPI 1578699039
Plastic Surgery in Salt Lake City, UT

Active since February 26, 2007
1151 EAST 3900 SOUTH, SUITE B110, SALT LAKE CITY, UT 84124(801) 268-8838(801) 268-8264 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grant R Fairbanks Md Pc NPPES

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

GRANT R FAIRBANKS MD PC (NPI 1578699039) is a healthcare organization registered as a plastic surgery in Salt Lake City, Utah and active in the NPI registry since February 2007. The organization lists Grant R Fairbanks, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1578699039
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameGRANT R FAIRBANKS MD PC
Location Address1151 EAST 3900 SOUTH, SUITE B110Salt Lake City, UT 84124
Mailing Address1151 East 3900 South, Suite B110Salt Lake City, UT 84124 · (801) 268-8838 · Fax (801) 268-8264
Phone(801) 268-8838
Fax(801) 268-8264
Organization SubpartNo
Authorized OfficialGrant R FairbanksMedical Doctor · (801) 268-8838
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 13, 2008
✔ NPI 1578699039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in UT · 1487731205
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1151 EAST 3900 SOUTH, Salt Lake City, UT 84124
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN000058179UT
Medicare NSC1578699039UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CHERYL A FARNSWORTH MPT
Physical Therapist
1151 EAST 3900 SOUTH, STE B-240
SALT LAKE CITY, UT 84124
Salt Lake County (801) 685-9212

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 Grant R Fairbanks MD PC's NPI number?

The NPI number for Grant R Fairbanks MD PC is 1578699039. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Grant R Fairbanks MD PC located?

Grant R Fairbanks MD PC is located at 1151 East 3900 South Suite B110, Salt Lake City, UT 84124. The listed phone number is (801) 268-8838.

What is Grant R Fairbanks MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Grant R Fairbanks MD PC was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.