NPIMap

Organization Active NPI

Vip Tooth Care Center LLC

  • General Practice Dentistry
  • Syracuse, UT
National Provider Identifier
1295887073
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VIP TOOTH CARE CENTER LLC
Practice address
780 S 2000 W
Ste F1
Syracuse, UT 84075-9602
Phone
(801) 776-3000
Fax
(801) 825-7700
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Clive C IngramNPI 1801921804
Title
DDS
Phone
(801) 776-3000

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 UT Primary

Addresses

Primary practice location

780 S 2000 W
Ste F1
Syracuse, UT 84075-9602

Mailing address

780 S 2000 W
Ste F1
Syracuse, UT 84075-9602
Phone (801) 776-3000

National Provider Directory

National Provider Directory

Locations

780 S 2000 W
Ste F1
Syracuse, UT 84075
Phone (801) 776-3000

Practitioners & affiliated clinicians

Practitioners 3

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295887073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 S 2000 W",
            "address_2": "STE F1",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759602",
            "telephone_number": "801-776-3000",
            "fax_number": "801-825-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S 2000 W",
            "address_2": "STE F1",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759602",
            "telephone_number": "801-776-3000",
            "fax_number": "801-825-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP TOOTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "801-776-3000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.