Grace Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GRACE FAMILY DENTAL

Practice address

4010 S 700 E Ste 5
Salt Lake City, UT 84107-2575

Phone

(801) 262-0915

Fax

(801) 262-0812

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Chun K KimNPI 1407273121

Title

President

Phone

(801) 262-0915

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Chun Kim

  • Dentist
  • Salt Lake City, UT
  • NPI 1407273121
  NPD (past) Authorized official

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1215354949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 S 700 E #5",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-262-0915",
            "fax_number": "801-262-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S 700 E STE 5",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072575",
            "telephone_number": "801-262-0915",
            "fax_number": "801-262-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHUN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-262-0915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Gowans, NP-C
• Jeffrey William Gower, PHARMD
• Nishant Goyal, MBBS, MCH
• Piyush Goyal, DO
• Francisco Daniel Goyeneche
• Grace Forsythe PHD Inc
• Eileen Grace, OTR/L
• Gracious Growth Utah LLC
• Emma J Graddy, PT, DPT
• Casey David Voyles Gradick, M.D., M.P.H.

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.