NPIMap

Organization Active NPI

Bangerter Dental, LLC

  • Dentist
  • South Jordan, UT
National Provider Identifier
1245814169
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BANGERTER DENTAL, LLC
Practice address
3672 W South Jordan Pkwy Ste 203
South Jordan, UT 84009-7172
Phone
(801) 550-5013
NPI assigned
May 6, 2021
Last updated
May 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Dallis J Zurcher, DDSNPI 1134504053
Title
Member
Phone
(801) 268-8053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3672 W South Jordan Pkwy Ste 203
South Jordan, UT 84009-7172

Mailing address

6315 S Cobblecrest Rd
Holladay, UT 84121-2254
Phone (801) 550-5013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1245814169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 S COBBLECREST RD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841212254",
            "telephone_number": "801-550-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3672 W SOUTH JORDAN PKWY STE 203",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097172",
            "telephone_number": "801-550-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGERTER DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "ZURCHER",
        "authorized_official_first_name": "DALLIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-268-8053",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.