NPIMap

Organization Active NPI

Confederated Tribes of the Goshute Reservation

  • Dental Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1174969125
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Practice address
660 S 200 E Ste 250
Salt Lake City, UT 84111-3846
Phone
(801) 359-2256
NPI assigned
May 17, 2013
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Linda Thatcher
Title
Billing
Phone
(801) 359-2256

Specialties & licenses 1

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

Addresses

Primary practice location

660 S 200 E Ste 250
Salt Lake City, UT 84111-3846

Mailing address

660 S 200 E Ste 250
Salt Lake City, UT 84111-3846
Phone (801) 359-2256

National Provider Directory

National Provider Directory
Tax ID family
Sacred Circle Healthcare14 organizations share this tax ID, including this one
Part of
Sacred Circle Healthcare

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1174969125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S 200 E STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113846",
            "telephone_number": "801-359-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 200 E STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113846",
            "telephone_number": "801-359-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION",
        "enumeration_date": "2013-05-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "801-359-2256"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.