Organization Active NPI

Big Smiles Utah P.C.

  • Dentist
  • Salt Lake City, UT
National Provider Identifier
1275912040
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9345989-9921 Issued in UT
Legal business name
BIG SMILES UTAH P.C.
Practice address
2825 E Cottonwood Pkwy
Suite 500
Salt Lake City, UT 84121-7055
Phone
(888) 833-8441
Fax
(888) 330-4331
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Elliot Schlang, DDS
Title
Dental Director
Phone
(888) 833-8441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9345989-9921 UT Primary

Addresses

Primary practice location

2825 E Cottonwood Pkwy
Suite 500
Salt Lake City, UT 84121-7055

Mailing address

33533 W 12 Mile Rd
Suite 150
Farmington Hills, MI 48331-3354
Phone (888) 833-8441

National Provider Directory

National Provider Directory

Locations

2825 E Cottonwood Pkwy
Ste 500
Salt Lake Cty, UT 84121
Phone (385) 442-5895

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1275912040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33533 W 12 MILE RD",
            "address_2": "SUITE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313354",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 E COTTONWOOD PKWY",
            "address_2": "SUITE 500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841217055",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SMILES UTAH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "SCHLANG",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "888-833-8441",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "9345989-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.