NPIMap

Organization Active NPI

Families First Pediatric Dentistry

  • Pediatric Dentistry
  • Layton, UT
National Provider Identifier
1144093568
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FAMILIES FIRST PEDIATRIC DENTISTRY
Practice address
1597 Woodland Park Dr Ste 200
Layton, UT 84041-5696
Phone
(801) 515-5858
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Ebonie Gonzales
Title
Credentialing
Phone
(801) 254-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1597 Woodland Park Dr Ste 200
Layton, UT 84041-5696

Mailing address

PO Box 95868
South Jordan, UT 84095-0868

National Provider Directory

National Provider Directory
Tax ID family
Families First Pediatric Dentistry8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1144093568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95868",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WOODLAND PARK DR STE 200",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415696",
            "telephone_number": "801-515-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIES FIRST PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "EBONIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "801-254-9700"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.