Organization Active NPI

Michael B. Warner, DMD, LLC

  • General Practice Dentistry
  • South Jordan, UT
National Provider Identifier
1295095396
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8057846-9922 Issued in UT
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

Updated by the provider on May 22, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.