Pony Express Dental Daybreak, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5015649-8903 Issued in UT

Legal business name

PONY EXPRESS DENTAL DAYBREAK, LLC

Practice address

5396 W Daybreak Parkway
South Jordan, UT 84009

Phone

(801) 876-7669

NPI assigned

Jun 30, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael Tornow, DMD

Title

Owner

Phone

(801) 876-7669

Specialties & licenses 1

Addresses

Practitioners 1

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

• Andrew Mark Bateman, DMD

  • General Practice Dentistry
  • Lehi, UT
  • NPI 1174052849
  NPD (past)

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1104347061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E EAGLE MOUNTAIN BLVD",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055412",
            "telephone_number": "801-876-7669",
            "fax_number": "801-407-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5396 W DAYBREAK PARKWAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84009",
            "telephone_number": "801-876-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONY EXPRESS DENTAL DAYBREAK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "TORNOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-876-7669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "5015649-8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine T Platt, PA
• Plume Health, PC
• Plunkett Family Health (Stephanie Plunkett, MD)
• Stephanie Plunkett, MD
• Payton Joy Pola, CSW
• Pony Express Dentalkids, LLC
• Pony Exress Orthodontics, LLC
• Talia John Poole
• Charisse Olivia Castinado Potter, PT, DPT
• Breauna Poulson

• Dental Clinic/Center in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.