NPIMap

Organization Active NPI

Denali Dental

  • General Practice Dentistry
  • Kaysville, UT
National Provider Identifier
1013192731
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
322402-9922 Issued in UT
Legal business name
DENALI DENTAL
Practice address
47 Crestwood Rd
Ste. #3
Kaysville, UT 84037-1445
Phone
(801) 544-4204
Fax
(801) 546-6140
NPI assigned
Dec 31, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dan Jensen
Title
Owner/President
Phone
(801) 544-4204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 322402-9922 UT Primary

Addresses

Primary practice location

47 Crestwood Rd
Ste. #3
Kaysville, UT 84037-1445

Mailing address

47 Crestwood Rd
Ste. #3
Kaysville, UT 84037-1445
Phone (801) 544-4204

National Provider Directory

National Provider Directory

Locations

47 Crestwood Rd
Ste 3
Kaysville, UT 84037
Phone (801) 544-4204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1013192731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CRESTWOOD RD",
            "address_2": "STE. #3",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371445",
            "telephone_number": "801-544-4204",
            "fax_number": "801-546-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CRESTWOOD RD",
            "address_2": "STE. #3",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371445",
            "telephone_number": "801-544-4204",
            "fax_number": "801-546-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-544-4204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "322402-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.