Active NPI
Michael B. Warner, DMD, LLC
- General Practice Dentistry
- South Jordan, UT
National Provider Identifier
1295095396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8057846-9922
- Legal business name
- MICHAEL B. WARNER, DMD, LLC
- Practice address
- 2651 W 10400 S
Suite 101
South Jordan, UT 84095-8953 - Phone
- (801) 254-4454
- NPI assigned
- May 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael B Warner, DMD
- Title
- Owner
- Phone
- (801) 254-4454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8057846-9922 | UT | Primary |
Addresses
Primary practice location
2651 W 10400 S
Suite 101
South Jordan, UT 84095-8953
Mailing address
2651 W 10400 S
Suite 101
South Jordan, UT 84095-8953
Other names 1
- Aspire Dental
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337644800000",
"number": "1295095396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 W 10400 S",
"address_2": "SUITE 101",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 W 10400 S",
"address_2": "SUITE 101",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958953",
"telephone_number": "801-254-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL B. WARNER, DMD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-254-4454",
"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": "8057846-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspire Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.