Neon Kids Dental PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NEON KIDS DENTAL PLLC

Practice address

1091 N Bluff St Ste 550
St George, UT 84770-5775

Phone

(505) 592-0482

NPI assigned

Jul 15, 2022

Organization subpart

No

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

Authorized official

Name

Amands Salazar

Title

Billing

Phone

(505) 592-0482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1376277137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 N BUTLER AVE STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874010816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 N BLUFF ST STE 550",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705775",
            "telephone_number": "505-592-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEON KIDS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "AMANDS",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "505-592-0482"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Don Nelson, RPH
• Shaw Morgan Nelson
• Tyler W Nelson, MD
• Zedekai Nelson
• Joss Soren Nemelka
• Janet Neri
• Lydia Neumann
• Katherine Neumeier
• Neurofeedback Addiction Recovery
• Neurofeedback Centers of Utah

• Pediatric Dentistry in St George, UT
• Providers in St George, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.