Blue Mountain Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7369645 Issued in UT

Legal business name

BLUE MOUNTAIN FAMILY DENTAL

Practice address

1675 N 200 W #8a
Provo, UT 84604

Phone

(801) 356-7329

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Justin Todd Hilmo, D.D.S

Title

General Dentist

Phone

(801) 356-7329

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• David Glen Lee, DDS

  • General Practice Dentistry
  • Provo, UT
  • NPI 1215158498
  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1003206350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N 200 W #8A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-356-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N 200 W #8A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-356-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "HILMO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "801-356-7329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7369645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050828",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Bleyl, PA-C
• Kendra Blinzinger, CSW
• Cathy Bliss
• Steven W Bloink, MD
• Walker Benson Bludworth
• Blue Rock Neurological LLC
• Bluerock Medical LLC
• David Troy Blume, LCSW
• Dennis J. Blume, D.D.S.
• Sarah Bluth Stapp, PA-C

• General Practice Dentistry in Provo, UT
• Providers in Provo, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.