University of Utah Dental Services

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

UNIVERSITY OF UTAH DENTAL SERVICES

Practice address

50 N Medical Dr
Salt Lake City, UT 84132-0100

Phone

(801) 581-2121

NPI assigned

Mar 24, 2015

Organization subpart

Yes

Parent organization

UNIVERSITY OF UTAH DENTAL SERVICESAs reported in NPPES

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

Authorized official

Name

Sean Mulvihill, MD

Title

Chief Medical Officer

Phone

(801) 587-6336

Specialties & licenses 1

Addresses

Other names 1

• Univ. of Utah Hospital Otolaryngology-Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• University of Utah Dental Services

  • Plastic and Reconstructive Surgery Physician
  • Salt Lake City, UT
  • NPI 1346633203

  O20150630001141

  Same enrollment
• University of Utah Dental Services

  • Dental Clinic/Center
  • Salt Lake City, UT
  • NPI 1447609631

  O20150630001141

  Same enrollment
• University of Utah Dental Services

  • Dental Clinic/Center
  • Salt Lake City, UT
  • NPI 1821446279

  O20150630001141

  Same enrollment
• University of Utah Dental Services

  • Oral and Maxillofacial Surgery (Dentist)
  • South Jordan, UT
  • NPI 1952794851

  O20150630001141

  Same enrollment

Part of

University of Utah Dental Services

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• University of Utah Dental Services

  • Oral and Maxillofacial Surgery (Dentist)
  • Salt Lake City, UT
  • NPI 1184018673
  NPPES parent name

Practitioners 1

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

• David Russell Adams, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fresno, CA
  • NPI 1831282755
  NPD

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1194119685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413033",
            "address_2": "PO",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841413033",
            "telephone_number": "801-213-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320100",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF UTAH DENTAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF UTAH DENTAL SERVICES",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "MULVIHILL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "801-587-6336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Univ. of Utah Hospital Otolaryngology-Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University of Utah Community Physicians Group
• University of Utah Community Physicians Group
• University of Utah Community Physicians Group
• University of Utah Community Physicians Group
• University of Utah Dental Services
• University of Utah Dental Services
• University of Utah Dental Services
• University of Utah Dental Services
• University of Utah Department of OB-GYN
• University of Utah Dept of OBGYN Gynecologic Oncology

• Facial Plastic Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Facial Plastic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.