NPIMap

Organization Active NPI

Young Family Dental-Riverton

  • General Practice Dentistry
  • Riverton, UT
National Provider Identifier
1164869913
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4766943-9922 Issued in UT
Legal business name
YOUNG FAMILY DENTAL-RIVERTON
Practice address
12562 Rhetski LN
Riverton, UT 84065
Phone
(801) 446-2518
NPI assigned
Jun 3, 2013
Last updated
Mar 23, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
YOUNG FAMILY DENTAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Christopher Wayne Young, DDSNPI 1093887374
Title
President
Phone
(801) 224-0222

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4766943-9922 UT Primary

Addresses

Primary practice location

12562 Rhetski LN
Riverton, UT 84065

Mailing address

12562 Rhetski LN
Riverton, UT 84065
Phone (801) 446-2518

National Provider Directory

National Provider Directory
Part of
Young Family Dental

Locations

12562 S Rhetski Ln
Riverton, UT 84065
Phone (801) 446-2518

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1164869913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12562 RHETSKI LN",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-446-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12562 RHETSKI LN",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-446-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FAMILY DENTAL-RIVERTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG FAMILY DENTAL INC",
        "enumeration_date": "2013-06-03",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-224-0222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4766943-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 23, 2017; 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.