Active NPI
Oral & Facial Reconstructive Surgeons of Utah, LLC
- Oral and Maxillofacial Surgery (Dentist)
- Salt Lake City, UT
National Provider Identifier
1184980005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7961990-1205
- Legal business name
- ORAL & FACIAL RECONSTRUCTIVE SURGEONS OF UTAH, LLC
- Practice address
- 1250 E 3900 S Ste 360
Salt Lake City, UT 84124-1362 - Phone
- (801) 262-7447
- NPI assigned
- Apr 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathan Grant Adams, MD, DMD
- Title
- Co-Owner, Surgeon
- Phone
- (801) 262-7447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7961990-1205 | UT | Primary |
Addresses
Primary practice location
1250 E 3900 S Ste 360
Salt Lake City, UT 84124-1362
Mailing address
1250 E 3900 S Ste 360
Salt Lake City, UT 84124-1362
Phone (801) 262-7447
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Salt Lake City, UT
- NPI 1760513121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1184980005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 E 3900 S STE 360",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241362",
"telephone_number": "801-262-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E 3900 S STE 360",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241362",
"telephone_number": "801-262-7447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL & FACIAL RECONSTRUCTIVE SURGEONS OF UTAH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-04",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "GRANT",
"authorized_official_title_or_position": "CO-OWNER, SURGEON",
"authorized_official_telephone_number": "801-262-7447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "UT",
"license": "7961990-1205",
"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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.