Silver Ridge Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SILVER RIDGE DENTAL CARE

Practice address

1291 W 12600 S Ste 104
Riverton, UT 84065-7130

Phone

(801) 254-4161

NPI assigned

Dec 19, 2024

Organization subpart

No

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

Authorized official

Name

Bradley Edward Devries, DMDNPI 1568624690

Title

Owner

Phone

(801) 694-3106

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Edward Devries, DMD

  • Dentist
  • Riverton, UT
  • NPI 1568624690
  NPD Authorized official
• Jay W Silcox, D.D.S., P.C.

  • General Practice Dentistry
  • Riverton, UT
  • NPI 1588786560
  NPD (past)

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1073321204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 W 12600 S STE 104",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657130",
            "telephone_number": "801-254-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 W 12600 S STE 104",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657130",
            "telephone_number": "801-254-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER RIDGE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-694-3106",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Shulze, D.M.D
• Julia K Sickles, L.C.S.W.
• Channing Breana Silcox, RN
• Jay W Silcox, D.D.S., P.C.
• Tori Renae Silva
• Julie Abamonga Simmons, PT, DPT
• Daniel Patrick Simon, MD
• Stefanie Simons Camassi, AGNP
• Katherine Jo Simpson, CSW
• Sabrina Simpson

• General Practice Dentistry in Riverton, UT
• Providers in Riverton, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.