Scott Kiser, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

142240-9922 Issued in UT

Practice address

2240 E. Murray-Holladay Rd
Salt Lake City, UT 84117

Phone

(801) 277-1010

Fax

(801) 277-7016

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signature Utah Dental Partners PC

  dba Bingham Dental

  • Dental Clinic/Center
  • Holladay, UT
  • NPI 1578127221
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114931722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 CRUISE BAY CT",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213260",
            "telephone_number": "801-277-1010",
            "fax_number": "801-277-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E. MURRAY-HOLLADAY RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84117",
            "telephone_number": "801-277-1010",
            "fax_number": "801-277-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "SCOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142240-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addy Kirkham
• Cynthia Kirkham, CMHC
• Hannah Lee Kirking, MD
• Joshua Jeff Kirkpatrick, MD
• Margaret Ruth Kirkpatrick, MD
• Elin R Kiss, CASE MANAGER
• Kristi Lynn Adamson Kissell, APRN
• Alec Kitch, M.D.
• Eleanor Frances Kitchell, MD
• Sean Kitchen, CMHC INTERN

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.