Active NPI
Tooth Co
- Dental Clinic/Center
- West Valley City, UT
National Provider Identifier
1316512601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- TOOTH CO
- Practice address
- 4575 S 5600 W Ste B
West Valley City, UT 84120-4639 - Phone
- (801) 955-4400
- Fax
- (801) 955-4900
- NPI assigned
- May 20, 2021
- 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
- Brion Conway
- Title
- Member
- Phone
- (801) 647-3707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4575 S 5600 W Ste B
West Valley City, UT 84120-4639
Mailing address
4575 S 5600 W Ste B
West Valley City, UT 84120-4639
Phone (801) 955-4400
National Provider Directory
National Provider DirectoryLocations
4575 S 5600 W
Ste B
West Valley City, UT 84120
Phone (801) 955-4400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621468800000",
"number": "1316512601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 S 5600 W STE B",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841204639",
"telephone_number": "801-955-4400",
"fax_number": "801-955-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4575 S 5600 W STE B",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841204639",
"telephone_number": "801-955-4400",
"fax_number": "801-955-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOOTH CO",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A",
"authorized_official_last_name": "CONWAY",
"authorized_official_first_name": "BRION",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "801-647-3707"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.