Organization Active NPI

Pleasant Valley Dental and Sleep Center

  • Dental Clinic/Center
  • Washington Terrace, UT
National Provider Identifier
1306284187
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7698732-9923 Issued in UT
Legal business name
PLEASANT VALLEY DENTAL AND SLEEP CENTER
Practice address
5742 Adams Ave Pkwy
Washington Terrace, UT 84405-7157
Phone
(801) 621-3383
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Brady Paul Powell, D.D.S.
Title
Owner
Phone
(801) 621-3383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 294898-9922 UT
Dental Clinic/Center 261QD0000X 7698732-9923 UT Primary

Addresses

Primary practice location

5742 Adams Ave Pkwy
Washington Terrace, UT 84405-7157

Mailing address

5742 Adams Ave Pkwy
Washington Terrace, UT 84405-7157
Phone (801) 621-3383

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1306284187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5742 ADAMS AVE PKWY",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844057157",
            "telephone_number": "801-621-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5742 ADAMS AVE PKWY",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844057157",
            "telephone_number": "801-621-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY DENTAL AND SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-621-3383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "294898-9922",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "7698732-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Terrace, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.