Organization Active NPI

Sandy Shores Pediatric Dentistry

  • Dentist
  • Sandy, UT
National Provider Identifier
1154737427
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
142542 Issued in UT
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

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. James Henry Bekker, DMDNPI 1568536217
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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 142542 UT Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.