PDC Sandy

Primary specialty

DentistTaxonomy code 122300000X

License

3104344-9922 Issued in UT

Legal business name

PDC SANDY

Doing business as

Platinum Dental Care

Practice address

1844 E 9400 S
Sandy, UT 84093-3000

Phone

(801) 590-3266

NPI assigned

May 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Juan Chavez, DMD

Title

Dentist

Phone

(801) 590-3266

Specialties & licenses 1

Addresses

Other names 1

• Platinum Dental Care Doing business as

Locations

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1164833794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 E 9400 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840933000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 E 9400 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840933000",
            "telephone_number": "801-590-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDC SANDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-590-3266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "3104344-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul J. Diehl, MD, PC
• Paul W Winterton MD PC
• Michelle Ann Paxton, LCSW
• Valerie Payne
• PCM Venture I Pharmacy
• Rebekah Heninger Peacock
• Peak Behavioral Consulting
• Alexzander Pearson
• David A Pearson, MD
• Joseph W Peck, DMD

• Dentist in Sandy, UT
• Providers in Sandy, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.