White Peak Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WHITE PEAK DENTAL

Practice address

6800 S Highland Dr Ste 100
Cottonwood Heights, UT 84121-3067

Phone

(801) 293-1234

Fax

(801) 305-3683

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Justin Douglas Hansen, DMD

Title

Dentist

Phone

(801) 293-1234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1154963098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 S HIGHLAND DR STE 100",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213067",
            "telephone_number": "801-293-1234",
            "fax_number": "801-305-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 S HIGHLAND DR STE 100",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213067",
            "telephone_number": "801-293-1234",
            "fax_number": "801-305-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PEAK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-293-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Weldon
• Dana Weller, PA-C
• Jared Wells
• Western Rehabilitation Health Network, LC
• Erika Whitaker
• Rivka White
• Chase Whitehead
• Emma Whittle
• Amanda Widing
• Nathan Wilhite

• General Practice Dentistry in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.