NPIMap

Organization Active NPI

University of Utah Dental Services

Doing business as UUHC Greenwood Health Center Dental Clinic

  • Dental Clinic/Center
  • Midvale, UT
National Provider Identifier
1043668379
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UNIVERSITY OF UTAH DENTAL SERVICES
Doing business as
UUHC Greenwood Health Center Dental Clinic
Practice address
7495 S State St
Midvale, UT 84047-2013
Phone
(801) 213-9590
NPI assigned
May 26, 2016
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF UTAH DENTAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
James H Bekker, DMD
Title
Department Chair
Phone
(801) 587-6336

Specialties & licenses 1

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

Addresses

Primary practice location

7495 S State St
Midvale, UT 84047-2013

Mailing address

PO Box 841450
Los Angeles, CA 90084-1450
Phone (801) 213-3900

Other names 1

  • UUHC Greenwood Health Center Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Utah Dental Services5 organizations share this tax ID, including this one
Part of
University of Utah Dental Services

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7495 S State St
Midvale, UT 84047
Phone (801) 213-9400

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1043668379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900841450",
            "telephone_number": "801-213-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 S STATE ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472013",
            "telephone_number": "801-213-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF UTAH DENTAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF UTAH DENTAL SERVICES",
        "enumeration_date": "2016-05-26",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BEKKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DEPARTMENT CHAIR",
        "authorized_official_telephone_number": "801-587-6336",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UUHC Greenwood Health Center Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UUHC Greenwood Health Center Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.