Organization Active NPI

Red Cliff Pediatric Dental

  • Pediatric Dentistry
  • Saint George, UT
National Provider Identifier
1265267355
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RED CLIFF PEDIATRIC DENTAL
Practice address
826 S 3000 E Ste 1
Saint George, UT 84790-1823
Phone
(435) 628-0511
NPI assigned
Sep 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Dusti Farr
Title
Office Manager
Phone
(435) 215-9540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

826 S 3000 E Ste 1
Saint George, UT 84790-1823

Mailing address

826 S 3000 E Ste 1
Saint George, UT 84790-1823
Phone (435) 628-0511

Other names 1

  • Johnson Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

826 S 3000 E
#1
Saint George, UT 84790
Phone (435) 628-0511

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1265267355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S 3000 E STE 1",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901823",
            "telephone_number": "435-628-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S 3000 E STE 1",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901823",
            "telephone_number": "435-628-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CLIFF PEDIATRIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "DUSTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-215-9540"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.