NPIMap

Organization Active NPI

Oral & Maxillofacial Surgeons of Utah

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Layton, UT
National Provider Identifier
1245601012
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
ORAL & MAXILLOFACIAL SURGEONS OF UTAH
Practice address
2297 N Hill Field Rd
Suite 105
Layton, UT 84041-6920
Phone
(801) 779-0506
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Todd Liston, D.D.S, M.S.
Title
Partner
Phone
(801) 779-0506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

2297 N Hill Field Rd
Suite 105
Layton, UT 84041-6920

Mailing address

2297 N. Hill Field Road
Suite 105
Layton, UT 84041
Phone (801) 779-0506

National Provider Directory

National Provider Directory

Locations

2297 N Hill Field Rd
Ste 105
Layton, UT 84041
Phone (801) 779-0506

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1245601012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 N. HILL FIELD ROAD",
            "address_2": "SUITE 105",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-779-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2297 N HILL FIELD RD",
            "address_2": "SUITE 105",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416920",
            "telephone_number": "801-779-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGEONS OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "LISTON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-779-0506",
        "authorized_official_credential": "D.D.S, M.S."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.