NPIMap

Organization Active NPI

Patricia Smyth D.D.S.,L.C.

  • Dental Clinic/Center
  • Ogden, UT
National Provider Identifier
1104041565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
267450 Issued in UT
Legal business name
PATRICIA SMYTH D.D.S.,L.C.
Practice address
5300 S. Adams Ave. Pkwy.
Suite 1
Ogden, UT 84405-6955
Phone
(801) 476-1234
Fax
(801) 479-4926
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia Smyth, D.D.S.NPI 1396755005
Title
Owner
Phone
(801) 476-1234

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
Dental Clinic/Center 261QD0000X 267450 UT Primary

Addresses

Primary practice location

5300 S. Adams Ave. Pkwy.
Suite 1
Ogden, UT 84405-6955

Mailing address

5300 S. Adams Ave. Pkwy.
Suite 1
Ogden, UT 84405-6955
Phone (801) 476-1234

National Provider Directory

National Provider Directory

Locations

5300 Adams Avenue Pkwy
Ste 1
Ogden, UT 84405
Phone (801) 476-1234

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104041565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S. ADAMS AVE. PKWY.",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056955",
            "telephone_number": "801-476-1234",
            "fax_number": "801-479-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S. ADAMS AVE. PKWY.",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056955",
            "telephone_number": "801-476-1234",
            "fax_number": "801-479-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA SMYTH D.D.S.,L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-476-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "267450",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.