Organization Active NPI

Richfield Family Dental

  • Dental Clinic/Center
  • Richfield, UT
National Provider Identifier
1114549573
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RICHFIELD FAMILY DENTAL
Practice address
820 N Main St Ste 1
Richfield, UT 84701-1893
Phone
(435) 896-9696
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Benjamin Bowman
Title
Owner
Phone
(405) 326-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

820 N Main St Ste 1
Richfield, UT 84701-1893

Mailing address

820 N Main St Ste 1
Richfield, UT 84701-1893
Phone (435) 896-9696

National Provider Directory

National Provider Directory

Locations

820 N Main St
Richfield, UT 84701

820 N Main St
Ste 1
Richfield, UT 84701
Phone (435) 896-9696

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": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1114549573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N MAIN ST STE 1",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011893",
            "telephone_number": "435-896-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MAIN ST STE 1",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011893",
            "telephone_number": "435-896-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHFIELD FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-326-8004"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.