NPIMap

Organization Active NPI

Abundant Saratoga Springs LLC

Doing business as Abundant Dental Care of Saratoga Springs

  • General Practice Dentistry
  • Saratoga Springs, UT
National Provider Identifier
1093406548
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ABUNDANT SARATOGA SPRINGS LLC
Doing business as
Abundant Dental Care of Saratoga Springs
Practice address
717 N Redwood Rd Ste 105
Saratoga Springs, UT 84045-5188
Phone
(801) 802-8300
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ABUNDANT SARATOGA SPRINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Tracie Sullivan
Title
VP of Finance
Phone
(801) 550-3901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

717 N Redwood Rd Ste 105
Saratoga Springs, UT 84045-5188

Mailing address

793 E Winchester St
Murray, UT 84107-7564
Phone (801) 849-1045

Other names 1

  • Abundant Dental Care of Saratoga Springs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abundant Saratoga Springs LLC2 organizations share this tax ID, including this one
Part of
Abundant Saratoga Springs LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1093406548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 E WINCHESTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077564",
            "telephone_number": "801-849-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N REDWOOD RD STE 105",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455188",
            "telephone_number": "801-802-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT SARATOGA SPRINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABUNDANT SARATOGA SPRINGS",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "801-550-3901"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Dental Care of Saratoga Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.