NPIMap

Organization Active NPI

Richard W Elggren DMD Inc

  • Endodontics
  • Taylorsville, UT
National Provider Identifier
1205893740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
RICHARD W ELGGREN DMD INC
Practice address
6287 S Redwood Rd
#203
Taylorsville, UT 84123
Phone
(801) 266-7393
Fax
(801) 266-0212
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard W Elggren, DMDNPI 1831156371
Title
VP Treasurer
Phone
(801) 266-7393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

6287 S Redwood Rd
#203
Taylorsville, UT 84123

Mailing address

6287 S Redwood Rd
#203
Taylorsville, UT 84123
Phone (801) 266-7393

Other names 1

  • Redwood Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

6287 S Redwood Rd
Ste 203
Taylorsville, UT 84123
Phone (801) 266-7393

Practitioners & affiliated clinicians

Practitioners 3

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205893740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD",
            "address_2": "#203",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84123",
            "telephone_number": "801-266-7393",
            "fax_number": "801-266-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD",
            "address_2": "#203",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84123",
            "telephone_number": "801-266-7393",
            "fax_number": "801-266-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W ELGGREN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELGGREN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP TREASURER",
        "authorized_official_telephone_number": "801-266-7393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.