NPIMap

Organization Active NPI

G. George Pearson, DMD & Craig B. Theurer, DDS, P.C.

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1245252188
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
136058 & 138326 Issued in UT
Legal business name
G. GEORGE PEARSON, DMD & CRAIG B. THEURER, DDS, P.C.
Practice address
1955 S 1300 E
L-1
Salt Lake City, UT 84105-3638
Phone
(801) 487-5805
Fax
(801) 487-3415
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Gregory George Pearson, D.M.D.NPI 1033135504
Title
Co-Owner
Phone
(801) 487-5805

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 136058 & 138326 UT Primary

Addresses

Primary practice location

1955 S 1300 E
L-1
Salt Lake City, UT 84105-3638

Mailing address

1955 S 1300 E
L-1
Salt Lake City, UT 84105-3638
Phone (801) 487-5805

National Provider Directory

National Provider Directory

Locations

1955 S 1300 E
Ste L1
Salt Lake City, UT 84105
Phone (801) 487-5805

Practitioners & affiliated clinicians

Practitioners 2

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1245252188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 S 1300 E",
            "address_2": "L-1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053638",
            "telephone_number": "801-487-5805",
            "fax_number": "801-487-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 S 1300 E",
            "address_2": "L-1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053638",
            "telephone_number": "801-487-5805",
            "fax_number": "801-487-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. GEORGE PEARSON, DMD & CRAIG B. THEURER, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "801-487-5805",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "136058 & 138326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.