Fashion Place Dental

Primary specialty

DentistTaxonomy code 122300000X

License

142863 Issued in UT

Legal business name

FASHION PLACE DENTAL

Practice address

6095 S Fashion Blvd Ste 290
Murray, UT 84107-7391

Phone

(801) 262-7770

Fax

(801) 262-2983

NPI assigned

Jan 28, 2014

Organization subpart

No

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

Authorized official

Name

Melissa Goodman

Title

President

Phone

(801) 262-7770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John William Myers, DDS

  • General Practice Dentistry
  • Murray, UT
  • NPI 1619183357
  NPD (past)

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1033532015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 S FASHION BLVD STE 290",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077391",
            "telephone_number": "801-262-7770",
            "fax_number": "801-262-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 S FASHION BLVD STE 290",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077391",
            "telephone_number": "801-262-7770",
            "fax_number": "801-262-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASHION PLACE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-262-7770"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "142863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Richard Farnsworth, MD
• Kahri Hansen Farnsworth, AU.D.
• Steven T Farnsworth, MD
• Chelsea Farrell
• Leslie Pollio Farrell, NP
• Fashion Place Dental PC
• Fast Track Pain and Surgical
• Masarret Ashfaq Fazili, MD
• Melanie Fazio, RN
• Caleb Hendrik Featherstone

• Dentist in Murray, UT
• Providers in Murray, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.