Scott Johnson DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SCOTT JOHNSON DMD LLC

Doing business as

Riverside Endodontics

Practice address

62 E Thrive Dr Ste 320
Saratoga Springs, UT 84045-5561

Phone

(801) 400-4720

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Johnson, DMDNPI 1255712055

Title

Managing Member

Phone

(801) 400-4720

Specialties & licenses 1

Addresses

Other names 1

• Riverside Endodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Johnson, DMD

  • Endodontics
  • Orem, UT
  • NPI 1255712055
  NPD Authorized official

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1134908213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR STE 320",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455561",
            "telephone_number": "801-252-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR STE 320",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455561",
            "telephone_number": "801-400-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT JOHNSON DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-400-4720",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saratoga Springs Surgery Center LLC (Intermountain Health Surgery Center - Saratoga Springs)
• Nilam Ritesh Sathe, RN
• Alisha Kay Schlabaugh, LCSW
• Attica Yvette Schmidt, CMHC
• Melissa Schow
• David Seamons
• Rachel Secretan
• Aisling June Shamy, RBT
• Dalen Carson Shepherd
• Courtney Brooke Shill Russell, DO

• Dental Clinic/Center in Saratoga Springs, UT
• Providers in Saratoga Springs, 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 Sep 27, 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.