NPIMap

Organization Active NPI

Rocky Mountain Dental & Surgical Center

  • General Practice Dentistry
  • Ogden, UT
National Provider Identifier
1073010955
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9418886 Issued in UT
Legal business name
ROCKY MOUNTAIN DENTAL & SURGICAL CENTER
Practice address
2703 N 1600 W
Ogden, UT 84404
Phone
(435) 225-0834
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Ryker Wells, DMDNPI 1417337122
Title
Dentist
Phone
(801) 737-4650

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9418886 UT Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

2703 N 1600 W
Ogden, UT 84404

Mailing address

2703 N 1600 W
Ogden, UT 84404
Phone (435) 225-0834

National Provider Directory

National Provider Directory

Locations

2703 N 1600 W
Pleasant View, UT 84404
Phone (435) 225-0834

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": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1073010955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N 1600 W",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84404",
            "telephone_number": "435-225-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N 1600 W",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84404",
            "telephone_number": "435-225-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN DENTAL & SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "RYKER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-737-4650",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9418886",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.