EDGAR BOOTH MD
NPI 1710985726
Radiology - Diagnostic Radiology in West Valley City, UT

Active since July 13, 2005
3725 W 4100 S, STE 102, WEST VALLEY CITY, UT 84120(801) 652-4466 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edgar Booth Md NPPES

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

EDGAR BOOTH MD (NPI 1710985726) is an individual diagnostic radiology provider in West Valley City, Utah, licensed in Utah (1789851205) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1710985726
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDGAR BOOTHCredential: MD
Location Address3725 W 4100 S, STE 102West Valley City, UT 84120-5417
Mailing AddressPo Box 1169Bountiful, UT 84011-1169 · (801) 296-2113 · Fax (801) 296-1715
Sole ProprietorYes
Enumeration DateJuly 13, 2005
Last NPPES UpdateMarch 6, 2019
NPI 1710985726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in UT · 1789851205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3725 W 4100 S, West Valley City, UT 84120

Other Identifiers 3

Medicaid114168600WY
Medicaid805426200ID
MedicaidD0432UT

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.

Family Medicine
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Community Health Worker
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Physician Assistant
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Pharmacist
3725 W 4100 S
WEST VALLEY, UT 84120
Nurse Practitioner
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Physician Assistant
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Community Health Worker
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Nurse Practitioner
3725 W 4100 S
WEST VALLEY CITY, UT 84120

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 Edgar Booth's NPI number?

The NPI number for Edgar Booth is 1710985726. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Edgar Booth located?

Edgar Booth practices at 3725 W 4100 S Ste 102, West Valley City, UT 84120. The listed phone number is (801) 652-4466.

What is Edgar Booth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Edgar Booth was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.