Organization Active NPI

Affordable Dentures Riverdale P.C.

  • Dentist
  • Riverdale, UT
National Provider Identifier
1306145784
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AFFORDABLE DENTURES RIVERDALE P.C.
Practice address
4035 Riverdale Rd
Suite C
Riverdale, UT 84405-1517
Phone
(801) 334-0515
NPI assigned
Mar 24, 2011
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Tiana Hall, DDS
Title
Owner
Phone
(801) 334-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

4035 Riverdale Rd
Suite C
Riverdale, UT 84405-1517

Mailing address

4035 C Riverdale Rd
Riverdale, UT 84405
Phone (801) 334-0515

National Provider Directory

National Provider Directory

Locations

4035 Riverdale Rd
Ste C
Riverdale, UT 84405
Phone (801) 334-0515

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1306145784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 C RIVERDALE RD",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-334-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 RIVERDALE RD",
            "address_2": "SUITE C",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844051517",
            "telephone_number": "801-334-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES RIVERDALE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-334-0515",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.