Organization Active NPI

Lionize PLLC

  • Dental Clinic/Center
  • Washington, UT
National Provider Identifier
1326201088
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
344866-9922 Issued in UT
Legal business name
LIONIZE PLLC
Practice address
2074 S Arabian Way
Washington, UT 84780-8301
Phone
(435) 275-5000
Fax
(888) 935-3494
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Shane Trent Taylor, DDS
Title
President/Ceo
Phone
(435) 275-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 344866-9922 UT Primary

Addresses

Primary practice location

2074 S Arabian Way
Washington, UT 84780-8301

Mailing address

2074 S Arabian Way
Washington, UT 84780-8301
Phone (435) 275-5000

Other identifiers 1

IdentifierTypeStateIssuer
529292691015MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1326201088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S ARABIAN WAY",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808301",
            "telephone_number": "435-275-5000",
            "fax_number": "888-935-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S ARABIAN WAY",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808301",
            "telephone_number": "435-275-5000",
            "fax_number": "888-935-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONIZE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "435-275-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "344866-9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529292691015",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.