NPIMap

Organization Active NPI

Woodland Dental

  • General Practice Dentistry
  • Salem, UT
National Provider Identifier
1063713444
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6598211 Issued in UT
Legal business name
WOODLAND DENTAL
Practice address
204 E 400 N Ste a
Salem, UT 84653-9320
Phone
(801) 423-0905
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. David Kent Hansen, D.M.DNPI 1780884247
Title
Owner/Dentist
Phone
(801) 423-0905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6598211 UT Primary

Addresses

Primary practice location

204 E 400 N Ste a
Salem, UT 84653-9320

Mailing address

204 E 400 N Ste a
Salem, UT 84653-9320
Phone (801) 423-0905

National Provider Directory

National Provider Directory

Locations

204 E 400 N
Ste A
Salem, UT 84653
Phone (801) 423-0905

Practitioners & affiliated clinicians

Practitioners 1

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": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1063713444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 400 N STE A",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846539320",
            "telephone_number": "801-423-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 400 N STE A",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846539320",
            "telephone_number": "801-423-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "801-423-0905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6598211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.