Organization Active NPI

Taylorsville Emergency and Family Dental, LLC

  • General Practice Dentistry
  • Taylorsville, UT
National Provider Identifier
1275999443
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8677334-9922 Issued in UT
Legal business name
TAYLORSVILLE EMERGENCY AND FAMILY DENTAL, LLC
Practice address
2852 W 4700 S
Suite B
Taylorsville, UT 84129-2100
Phone
(801) 969-3752
Fax
(385) 355-9182
NPI assigned
Jan 4, 2016
Organization subpart
Yes
Parent organization
HERNANDEZ GIL HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. Jose A Hernandez-Gil, DMDNPI 1740416379
Title
Manager
Phone
(808) 769-4486

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 8677334-9922 UT Primary

Addresses

Primary practice location

2852 W 4700 S
Suite B
Taylorsville, UT 84129-2100

Mailing address

2852 W 4700 S
Suite B
Taylorsville, UT 84129-2100
Phone (801) 969-3752

National Provider Directory

National Provider Directory

Locations

2852 W 4700 S
Ste B
Taylorsville, UT 84129
Phone (801) 969-3752

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1275999443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 W 4700 S",
            "address_2": "SUITE B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292100",
            "telephone_number": "801-969-3752",
            "fax_number": "385-355-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 W 4700 S",
            "address_2": "SUITE B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292100",
            "telephone_number": "801-969-3752",
            "fax_number": "385-355-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORSVILLE EMERGENCY AND FAMILY DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERNANDEZ GIL HOLDINGS, LLC",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ-GIL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-769-4486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8677334-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.