Organization Active NPI

Snowcap Smile Studio LLC

  • Dentist
  • Provo, UT
National Provider Identifier
1093203044
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SNOWCAP SMILE STUDIO LLC
Practice address
2230 N. University Pkwy Ste 8B
Provo, UT 84604
Phone
(801) 610-7633
Fax
(801) 601-8570
NPI assigned
Apr 25, 2018
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Mr. Jonas Rodrigues
Title
Member
Phone
(801) 610-7633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2230 N. University Pkwy Ste 8B
Provo, UT 84604

Mailing address

2230 N. University Pkwy Ste 8B
Provo, UT 84604
Phone (801) 610-7633

National Provider Directory

National Provider Directory

Locations

2230 N University Pkwy
Ste 8B
Provo, UT 84604
Phone (385) 324-7064

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1093203044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N. UNIVERSITY PKWY STE 8B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-610-7633",
            "fax_number": "801-601-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N. UNIVERSITY PKWY STE 8B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-610-7633",
            "fax_number": "801-601-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOWCAP SMILE STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "JONAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-610-7633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.