Active NPI
Whitecap Dental Solutions
- General Practice Dentistry
- Heber City, UT
National Provider Identifier
1245478437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WHITECAP DENTAL SOLUTIONS
- Practice address
- 380 E 1500 S Ste 205
Heber City, UT 84032-3942 - Phone
- (435) 248-4007
- NPI assigned
- Jan 27, 2009
- Last updated
- Jan 27, 2009
- 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
- Paul K Clark, DMD
- Title
- Owner
- Phone
- (435) 248-4007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
380 E 1500 S Ste 205
Heber City, UT 84032-3942
Mailing address
380 E 1500 S
Ste 205
Heber City, UT 84032
Phone (435) 248-4007
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233014400000",
"number": "1245478437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 E 1500 S",
"address_2": "STE 205",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "84032",
"telephone_number": "435-248-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E 1500 S STE 205",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840323942",
"telephone_number": "435-248-4007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITECAP DENTAL SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-27",
"last_updated": "2009-01-27",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "435-248-4007",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Heber City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.