Organization Active NPI

Copperview Dental

  • Dental Clinic/Center
  • Taylorsville, UT
National Provider Identifier
1174774103
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
320562 Issued in UT
Legal business name
COPPERVIEW DENTAL
Practice address
1909 W 4700 S
Taylorsville, UT 84118-1105
Phone
(801) 398-9548
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Nicholas B Lafeber, DMD
Title
Owner
Phone
(801) 566-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 320562 UT Primary

Addresses

Primary practice location

1909 W 4700 S
Taylorsville, UT 84118-1105

Mailing address

1909 W 4700 S
Taylorsville, UT 84118-1105
Phone (801) 398-9548

National Provider Directory

National Provider Directory

Locations

1909 W 4700 S
Taylorsville, UT 84129
Phone (801) 398-9548

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1174774103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 W 4700 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841181105",
            "telephone_number": "801-398-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 W 4700 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841181105",
            "telephone_number": "801-398-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERVIEW DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "LAFEBER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-566-0660",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "320562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.