Tooth Doctor - CH, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

8813690-9922 Issued in UT

Legal business name

TOOTH DOCTOR - CH, LLC

Doing business as

The Tooth Doctor

Practice address

2180 E Fort Union Blvd
Cottonwood Heights, UT 84121-3148

Phone

(801) 944-4141

NPI assigned

Nov 30, 2017

Organization subpart

Yes

Parent organization

TD OPERATIONS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Devin J. Orvin, DDS

Title

President

Phone

(801) 989-7803

Specialties & licenses 1

Addresses

Other names 1

• The Tooth Doctor Doing business as

Part of

TD Operations LLC

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.

• TD Operations LLC

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1760995526
  NPPES parent name

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1235643016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 E FORT UNION BLVD",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213148",
            "telephone_number": "801-944-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 E FORT UNION BLVD",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213148",
            "telephone_number": "801-944-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH DOCTOR - CH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TD OPERATIONS LLC",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "ORVIN",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-989-7803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "8813690-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tooth Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.