South Valley Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SOUTH VALLEY PEDIATRIC DENTISTRY

Practice address

1795 W 500 S
Suite B3
Springville, UT 84663-3186

Phone

(801) 489-1301

NPI assigned

Apr 9, 2010

Last updated

Apr 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angie Catmull

Title

Office Manager

Phone

(801) 489-1301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Lindon Bower, D.D.S.

  • Pediatric Dentistry
  • Springville, UT
  • NPI 1881906659
  NPD (past)

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1336465830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 W. 500 S.",
            "address_2": "SUITE B3",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "84663",
            "telephone_number": "801-489-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 W 500 S",
            "address_2": "SUITE B3",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633186",
            "telephone_number": "801-489-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "CATMULL",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-489-1301",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "582779657001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solacium Holdings, LLC
• Stephen Solen, M.ED
• Ransford Jefree Sorensen, LPN
• Sos Drug Co
• Michael Kelly Soutas, DMD
• South Valley Pediatric Dentistry PLLC
• Rachael Spaulding
• Brandy Rachelle Sperle, MSW
• Alyssa Spjut, ACMHC-E
• Spring Canyon Therapy (Backcountry Balance)

• Pediatric Dentistry in Springville, UT
• Providers in Springville, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.