NPIMap

Organization Active NPI

Dental Care Center, PLLC.

  • Dentist
  • Clearfield, UT
National Provider Identifier
1053425918
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2697229922 Issued in UT
Legal business name
DENTAL CARE CENTER, PLLC.
Practice address
573 North 1000 West
Clearfield, UT 84015
Phone
(801) 776-1000
Fax
(801) 776-5277
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert G Goupios, D.D.S.
Title
Owner
Phone
(801) 776-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2697229922 UT Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 1329799922 UT

Addresses

Primary practice location

573 North 1000 West
Clearfield, UT 84015

Mailing address

573 North 1000 West
Clearfield, UT 84015
Phone (801) 776-1000

Other identifiers 1

IdentifierTypeStateIssuer
528393704001MedicaidUT

National Provider Directory

National Provider Directory

Locations

573 N 1000 W
Clearfield, UT 84015
Phone (801) 776-1000

Practitioners & affiliated clinicians

Practitioners 2

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053425918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 NORTH 1000 WEST",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "84015",
            "telephone_number": "801-776-1000",
            "fax_number": "801-776-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 NORTH 1000 WEST",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "84015",
            "telephone_number": "801-776-1000",
            "fax_number": "801-776-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE CENTER, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOUPIOS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-776-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "2697229922",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "1329799922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528393704001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.