NPIMap

Organization Active NPI

Pediatric Dentistry, P.C.

  • General Practice Dentistry
  • Layton, UT
National Provider Identifier
1003028325
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
145535 Issued in UT
Legal business name
PEDIATRIC DENTISTRY, P.C.
Practice address
2112 N Hill Field Rd Ste 1
Layton, UT 84041-4023
Phone
(801) 774-0770
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
S. Dale HibbertNPI 1851319750
Title
Owner
Phone
(801) 774-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 145535 UT Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 145535 UT

Addresses

Primary practice location

2112 N Hill Field Rd Ste 1
Layton, UT 84041-4023

Mailing address

2112 N Hill Field Rd Ste 1
Layton, UT 84041-4023
Phone (801) 774-0770

Other identifiers 1

IdentifierTypeStateIssuer
529130165036MedicaidUT

National Provider Directory

National Provider Directory

Locations

2112 N Hill Field Rd
Ste 1
Layton, UT 84041
Phone (801) 774-0770

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003028325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 N HILL FIELD RD STE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414023",
            "telephone_number": "801-774-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N HILL FIELD RD STE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414023",
            "telephone_number": "801-774-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HIBBERT",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-774-0770"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "145535",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "145535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529130165036",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.