NPIMap

Organization Active NPI

Children'S Crossing Pediatric Dentistry

  • Pediatric Dentistry
  • Saratoga Springs, UT
National Provider Identifier
1003138843
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5352062 Issued in UT
Legal business name
CHILDREN'S CROSSING PEDIATRIC DENTISTRY
Practice address
1528 N Commerce Dr
Suite 100
Saratoga Springs, UT 84045-4032
Phone
(801) 766-4900
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Jeffery K Rupp, DMD, MS
Title
Owner
Phone
(801) 635-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 5352062 UT Primary

Addresses

Primary practice location

1528 N Commerce Dr
Suite 100
Saratoga Springs, UT 84045-4032

Mailing address

1528 N Commerce Dr
Suite 100
Saratoga Springs, UT 84045-4032
Phone (801) 766-4900

National Provider Directory

National Provider Directory

Locations

1528 N Commerce Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-4900

Practitioners & affiliated clinicians

Practitioners 1

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": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1003138843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 N COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454032",
            "telephone_number": "801-766-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 N COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454032",
            "telephone_number": "801-766-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CROSSING PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "RUPP",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-635-4143",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "5352062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.