Active NPI
Sandy Shores Pediatric Dentistry
- Dentist
- Sandy, UT
National Provider Identifier
1154737427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 142542
- Legal business name
- SANDY SHORES PEDIATRIC DENTISTRY
- Practice address
- 1434 E. 9400 S. #205
Sandy, UT 84092 - Phone
- (801) 571-5800
- NPI assigned
- Jul 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Henry Bekker, DMD
- Title
- Dentist
- Phone
- (801) 571-5800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 142542 | UT | Primary |
| Dentist | 122300000X | 8320347 | UT |
Addresses
Primary practice location
1434 E. 9400 S. #205
Sandy, UT 84092
Mailing address
1434 E. 9400 S. #205
Sandy, UT 84092
Phone (801) 571-5800
National Provider Directory
National Provider DirectoryLocations
1434 E 9400 S
Ste 205
Sandy, UT 84093
Phone (801) 571-5800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Sandy, UT
- NPI 1568536217
-
- Pediatric Dentistry
- Sandy, UT
- NPI 1700266889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404777600000",
"number": "1154737427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 E. 9400 S. #205",
"city": "SANDY",
"state": "UT",
"postal_code": "84092",
"telephone_number": "801-571-5800",
"fax_number": "801-571-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1434 E. 9400 S. #205",
"city": "SANDY",
"state": "UT",
"postal_code": "84092",
"telephone_number": "801-571-5800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDY SHORES PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A",
"authorized_official_last_name": "BEKKER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "801-571-5800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "UT",
"license": "142542",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "UT",
"license": "8320347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.