Organization Active NPI

Zion Dental PDC PLLC

  • Dental Clinic/Center
  • Hurricane, UT
National Provider Identifier
1003539768
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ZION DENTAL PDC PLLC
Practice address
82 S 700 W
Hurricane, UT 84737-2462
Phone
(435) 635-4333
Fax
(435) 635-4331
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Alicia Larsen
Title
Revenue Cycle Management
Phone
(801) 305-3460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

82 S 700 W
Hurricane, UT 84737-2462

Mailing address

PO Box 971131
Orem, UT 84097-1131
Phone (435) 635-4333

Other names 1

  • Zion Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

82 S 700 W
Hurricane, UT 84737
Phone (435) 635-4333

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": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1003539768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971131",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840971131",
            "telephone_number": "435-635-4333",
            "fax_number": "435-635-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S 700 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372462",
            "telephone_number": "435-635-4333",
            "fax_number": "435-635-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION DENTAL PDC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "801-305-3460"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zion Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Zion Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.