Organization Active NPI

PDC Altitude

Doing business as Platinum Dental Care

  • Dentist
  • Salt Lake City, UT
National Provider Identifier
1053738989
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PDC ALTITUDE
Doing business as
Platinum Dental Care
Practice address
2011 S 1300 E
Salt Lake City, UT 84105-3613
Phone
(801) 305-3460
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Mr. Vince Dilley
Title
Owner
Phone
(801) 305-3460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2011 S 1300 E
Salt Lake City, UT 84105-3613

Mailing address

2011 S 1300 E
Salt Lake City, UT 84105-3613

Other names 1

  • Platinum Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2011 S 1300 E
Slc, UT 84105
Phone (801) 484-0792

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1053738989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053613",
            "telephone_number": "801-305-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDC ALTITUDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "DILLEY",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-305-3460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

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