Organization Active NPI

Alpine Dental Care

  • General Practice Dentistry
  • Highland, UT
National Provider Identifier
1205115193
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4748626 Issued in UT
Legal business name
ALPINE DENTAL CARE
Practice address
11020 N 5500 W Ste 200
Highland, UT 84003-9646
Phone
(801) 756-4440
Fax
(801) 756-4440
NPI assigned
Aug 9, 2011
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Katelyn Mitchell
Title
Insurance Coordinator
Phone
(385) 224-2794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4748626 UT Primary

Addresses

Primary practice location

11020 N 5500 W Ste 200
Highland, UT 84003-9646

Mailing address

11020 N 5500 W Ste 200
Highland, UT 84003-9646
Phone (801) 756-4440

National Provider Directory

National Provider Directory

Locations

70 W Canyon Crest Rd
Alpine, UT 84004
Phone (801) 756-4440

11020 N 5500 W
Ste 200
Highland, UT 84003
Phone (801) 756-4440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1205115193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 N 5500 W STE 200",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039646",
            "telephone_number": "801-756-4440",
            "fax_number": "801-756-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 N 5500 W STE 200",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039646",
            "telephone_number": "801-756-4440",
            "fax_number": "801-756-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "385-224-2794"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4748626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.