NPIMap

Organization Active NPI

Abundant Dental Care, P.C.

Doing business as Abundant Dental Care of West Jordan

  • General Practice Dentistry
  • West Jordan, UT
National Provider Identifier
1235778960
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ABUNDANT DENTAL CARE, P.C.
Doing business as
Abundant Dental Care of West Jordan
Practice address
5688 W 7800 S Ste 104
West Jordan, UT 84081-5404
Phone
(801) 254-4454
NPI assigned
Dec 28, 2019
Last updated
Dec 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ABUNDANT DENTAL CARE OF WEST JORDANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

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

Authorized official

Name
Sarah Boggs
Title
Director Or a/R
Phone
(801) 467-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

5688 W 7800 S Ste 104
West Jordan, UT 84081-5404

Mailing address

5688 W 7800 S Ste 104
West Jordan, UT 84081-5404
Phone (801) 254-4454

Other names 1

  • Abundant Dental Care of West Jordan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abundant Dental Care PC12 organizations share this tax ID, including this one
Part of
Abundant Dental Care PC

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5688 W 7800 S
Ste 104
West Jordan, UT 84081
Phone (801) 254-4454

Practitioners & affiliated clinicians

Practitioners 2

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": "1577491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577491200000",
    "number": "1235778960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5688 W 7800 S STE 104",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815404",
            "telephone_number": "801-254-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5688 W 7800 S STE 104",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815404",
            "telephone_number": "801-254-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT DENTAL CARE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABUNDANT DENTAL CARE OF WEST JORDAN",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OR A/R",
        "authorized_official_telephone_number": "801-467-2345"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Dental Care of West Jordan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; 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.