Active NPI
Riverside Family Dental Care, Inc
- Dental Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1316300460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 4923760
- Legal business name
- RIVERSIDE FAMILY DENTAL CARE, INC
- Practice address
- 1614 W 700 N
Salt Lake City, UT 84116 - Phone
- (385) 229-4222
- Fax
- (801) 883-9276
- NPI assigned
- Apr 5, 2016
- 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. Timothy Anger, D.M.D.
- Title
- Dentist/President
- Phone
- (385) 229-4222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 4923760 | UT | Primary |
Addresses
Primary practice location
1614 W 700 N
Salt Lake City, UT 84116
Mailing address
1614 W 700 N
Salt Lake City, UT 84116
Phone (385) 229-4222
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Longview, WA
- NPI 1205283199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459814400000",
"number": "1316300460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 W 700 N",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84116",
"telephone_number": "385-229-4222",
"fax_number": "801-883-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 W 700 N",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84116",
"telephone_number": "385-229-4222",
"fax_number": "801-883-9276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE FAMILY DENTAL CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-05",
"last_updated": "2016-04-05",
"status": "A",
"authorized_official_last_name": "ANGER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "DENTIST/PRESIDENT",
"authorized_official_telephone_number": "385-229-4222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "UT",
"license": "4923760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.