Organization Active NPI

Stone Creek Family Dental

  • General Practice Dentistry
  • Riverton, UT
National Provider Identifier
1265664072
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STONE CREEK FAMILY DENTAL
Practice address
2332 W 12600 S Ste a
Riverton, UT 84065-7172
Phone
(801) 253-4547
NPI assigned
Aug 12, 2009
Last updated
Aug 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Wayne D Brown, DDSNPI 1407021819
Title
Dentist
Phone
(801) 253-4547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2332 W 12600 S Ste a
Riverton, UT 84065-7172

Mailing address

2332 W 12600 S Ste a
Riverton, UT 84065-7172
Phone (801) 253-4547

National Provider Directory

National Provider Directory

Locations

2332 W 12600 S
Ste A
Riverton, UT 84065
Phone (801) 253-4547

Practitioners & affiliated clinicians

Practitioners 2

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": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1265664072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 W 12600 S STE A",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657172",
            "telephone_number": "801-253-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 W 12600 S STE A",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657172",
            "telephone_number": "801-253-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-253-4547",
        "authorized_official_credential": "DDS"
    },
    "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 Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.