NPIMap

Organization Active NPI

Nic - Salt Lake City, PLLC

  • Dental Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1184245474
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NIC - SALT LAKE CITY, PLLC
Practice address
7138 S Highland Dr Ste 109
Salt Lake City, UT 84121-3776
Phone
(801) 942-7770
NPI assigned
Apr 28, 2020
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Alex Swanson
Title
Ceo
Phone
(801) 510-9145

Specialties & licenses 1

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

Addresses

Primary practice location

7138 S Highland Dr Ste 109
Salt Lake City, UT 84121-3776

Mailing address

7138 S Highland Dr Ste 109
Salt Lake City, UT 84121-3776

National Provider Directory

National Provider Directory
Tax ID family
Nic - Salt Lake City PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7138 S Highland Dr
Ste 109
Salt Lake City, UT 84121
Phone (801) 510-9145

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1184245474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR STE 109",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR STE 109",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213776",
            "telephone_number": "801-942-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC - SALT LAKE CITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-510-9145"
    },
    "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 Aug 10, 2020; 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.