Ari Michael Hobfoll, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6519119 Issued in UT

Practice address

3540 S 4000 W Ste 440
West Valley, UT 84120-3295

Phone

(801) 955-5200

NPI assigned

Jun 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Ari Hobfoll, DMD PC

  dba Kaleidoscope Pediatric Dentistry

  • Pediatric Dentistry
  • Murray, UT
  • NPI 1154904134
  NPD Authorized official
• Dentistry for Children West Valley PC

  • Dental Clinic/Center
  • West Valley, UT
  • NPI 1922308618
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1245677905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 E WILLOW HILLS DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931933",
            "telephone_number": "435-655-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S 4000 W STE 440",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841203295",
            "telephone_number": "801-955-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Commons St",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245501",
            "country_code": "US",
            "telephone_number": "435-655-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBFOLL",
        "first_name": "ARI",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039508",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00202509",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "6519119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Drew Harting
• Amira A Hassan, D.D.S
• Sophie Heaton
• Alexandra Hernandez
• Kaitlin Hickman
• Arlene R Holland, APRN
• Corey Hotton, PTA
• Brian Howard, OD
• Hunter Medical Center, Inc (Jordan Meadows Medical Center)
• Inception Holdings

• Pediatric Dentistry in West Valley, UT
• Providers in West Valley, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.