NPIMap

Organization Active NPI

Fairfield PDC PLLC

  • Dental Clinic/Center
  • Layton, UT
National Provider Identifier
1184347841
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FAIRFIELD PDC PLLC
Practice address
1086 N Fairfield Rd
Layton, UT 84041-8353
Phone
(801) 547-8880
Fax
(801) 547-8911
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Alicia Larsen
Title
Revenue Cycle Management
Phone
(801) 305-3460

Specialties & licenses 1

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

Addresses

Primary practice location

1086 N Fairfield Rd
Layton, UT 84041-8353

Mailing address

PO Box 971414
Orem, UT 84097-1414
Phone (801) 547-8880

Other names 1

  • Fairfield Dental Care P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

1086 N Fairfield Rd
Layton, UT 84041
Phone (801) 547-8880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1184347841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971414",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840971414",
            "telephone_number": "801-547-8880",
            "fax_number": "801-547-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 N FAIRFIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840418353",
            "telephone_number": "801-547-8880",
            "fax_number": "801-547-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD PDC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "801-305-3460"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Dental Care P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Fairfield Dental Care P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.