Active NPI
Mountain View Dental PDC PLLC
Doing business as Mountain View Dental
- Dentist
- South Jordan, UT
National Provider Identifier
1225673429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MOUNTAIN VIEW DENTAL PDC PLLC
- Doing business as
- Mountain View Dental
- Practice address
- 6783 S Redwood Rd #201
South Jordan, UT 84084-5743 - Phone
- (801) 969-8200
- NPI assigned
- Nov 12, 2019
- 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
- Jacob Warner
- Title
- Credentialing Manager
- Phone
- (801) 691-1701
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Periodontics | 1223P0300X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
6783 S Redwood Rd #201
South Jordan, UT 84084-5743
Mailing address
PO Box 970057
Orem, UT 84097-0309
Phone (801) 305-3460
Other names 1
- Mountain View Dental
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.
-
- General Practice Dentistry
- West Jordan, UT
- NPI 1174044911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702598400000",
"number": "1225673429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 970057",
"city": "OREM",
"state": "UT",
"postal_code": "840970309",
"telephone_number": "801-305-3460",
"fax_number": "801-335-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6783 S REDWOOD RD #201",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840845743",
"telephone_number": "801-969-8200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW DENTAL PDC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-12",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "801-691-1701"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain View Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mountain View Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.