NPIMap

Organization Active NPI

Eric E. Martin, DDS, PC

Doing business as Kids Dental Barn

  • Dental Clinic/Center
  • Riverton, UT
National Provider Identifier
1144519265
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49554449923 Issued in UT
Legal business name
ERIC E. MARTIN, DDS, PC
Doing business as
Kids Dental Barn
Practice address
12391 S 4000 W Ste 204
Riverton, UT 84096-7015
Phone
(801) 676-8899
NPI assigned
Mar 29, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Eric Martin, DDS
Title
President/Pediatric Dentist
Phone
(801) 676-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49554449923 UT Primary

Addresses

Primary practice location

12391 S 4000 W Ste 204
Riverton, UT 84096-7015

Mailing address

12391 S 4000 W Ste 204
Riverton, UT 84096-7015
Phone (801) 676-8899

Other names 1

  • Kids Dental Barn Doing business as

National Provider Directory

National Provider Directory

Locations

12391 S 4000 W
Ste 204
Riverton, UT 84096
Phone (801) 676-8899

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1144519265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12391 S 4000 W STE 204",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967015",
            "telephone_number": "801-676-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12391 S 4000 W STE 204",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967015",
            "telephone_number": "801-676-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC E. MARTIN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "801-676-8899",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "49554449923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Barn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.