Individual provider Active NPI

Steven William Foltz, DDS

  • General Practice Dentistry
  • West Jordan, UT
National Provider Identifier
1174044911
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11187604-9922 Issued in UT
Practice address
6783 S Redwood Rd
West Jordan, UT 84084-5677
Phone
(801) 969-8200
NPI assigned
Jul 1, 2017
Last updated
May 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11187604-9922 UT Primary

Addresses

Primary practice location

6783 S Redwood Rd
West Jordan, UT 84084-5677

Mailing address

6783 S Redwood Rd Ste 201
West Jordan, UT 84084-5743
Phone (801) 969-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927002672 TN Order and Referring Only - DentistPractitioner - Dentist 0042584146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11187604-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Dental PDC PLLC PastSince Nov 17, 2019 Accepting new patients
West Valley Dental Group Inc General Practice Past Accepting new patients
Mountain View Dental Care General Practice Past Accepting new patients
Genesis Dental of Taylorsville General Practice Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1174044911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6783 S REDWOOD RD STE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845743",
            "telephone_number": "801-969-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6783 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845677",
            "telephone_number": "801-969-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLTZ",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-01",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11187604-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.