Baer Canyon Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

4936704 9922 Issued in UT

Legal business name

BAER CANYON DENTAL LLC

Practice address

275 North 300 West
Suite #404
Kaysville, UT 84037

Phone

(801) 544-9444

Fax

(801) 544-9443

NPI assigned

Sep 6, 2006

Last updated

Mar 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey A Thomas

Title

Office Manager Hygienist

Phone

(801) 544-9444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ryan E Thomas, D.D.S

  • General Practice Dentistry
  • Kaysville, UT
  • NPI 1396058053
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1174626345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 NORTH 300 WEST",
            "address_2": "SUITE #404",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "84037",
            "telephone_number": "801-544-9444",
            "fax_number": "801-544-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NORTH 300 WEST",
            "address_2": "SUITE #404",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "84037",
            "telephone_number": "801-544-9444",
            "fax_number": "801-544-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAER CANYON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER HYGIENIST",
        "authorized_official_telephone_number": "801-544-9444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "4936704 9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Atkinson
• Jason D Atkinson, D.C.
• Timothy Auger, PHARMD
• Axon Iom LLC
• Kathleen Marie Backus, DVM
• Kelsi Bailey
• Aubrie Bair, DNP, FNP-BC
• Bonnie Wray Baker
• Tatum Ballard
• Bark Technologies, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.